Individual
DR. TRAVIS M. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 KEAGY RD, SALEM, VA 24153-7312
(540) 989-5700
Mailing address
2111 MILLWHEEL LN, SALEM, VA 24153-4734
(540) 387-2855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410489
VA
Other
Enumeration date
03/23/2007
Last updated
07/29/2020
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