Individual
DR. SHANNON BISCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7518 ELBOW BEND RD, CAREFREE, AZ 85377
(480) 488-9735
Mailing address
7557 N DREAMY DRAW DR UNIT 145, PHOENIX, AZ 85020-4653
(765) 698-5110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011114
AZ
1223G0001X
General Practice Dentistry
D011114
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2021
Last updated
04/15/2022
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