Individual
SHANNON COGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PUBLIC HEALTH RDH
Contact information
Practice address
5301 WILKINSON BLVD, CHARLOTTE, NC 28208-5455
(704) 384-1523
(704) 384-1497
Mailing address
1215 BIGELOW ST, CHARLOTTE, NC 28269-3878
(704) 935-6038
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9943
NC
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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