Individual
DR. KIMONNIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1141 JASPER DENNIS RD, CLANTON, AL 35045-3783
(205) 312-0001
(205) 312-0002
Mailing address
230 E 10TH ST STE 106, ANNISTON, AL 36207-5771
(256) 741-7340
(256) 741-7373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3255-03
MS
1223G0001X
General Practice Dentistry
Primary
5483
AL
Other
Enumeration date
02/10/2006
Last updated
04/25/2017
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