Individual
DR. SHAWN PATRICK O'BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3522-09
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5029
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9082
TN
Other
Enumeration date
02/15/2006
Last updated
03/30/2010
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