Individual
DR. STEPHEN PATRICK SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13360 COURSEY BLVD, SUITE C, BATON ROUGE, LA 70816
(225) 752-8348
Mailing address
13360 COURSEY BLVD, SUITE C, BATON ROUGE, LA 70816
(225) 752-8348
(225) 752-8352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5278
LA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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