Individual
DR. MICHAEL TIMOTHY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
203 TURNPIKE STREET, SUITE G-2, NORTH ANDOVER, MA 01845
(978) 682-5255
(978) 682-0656
Mailing address
203 TURNPIKE STREET, SUITE G-2, NORTH ANDOVER, MA 01845
(978) 682-5255
(978) 682-0656
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17705
MA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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