Individual
DR. BRYAN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 E COLLEGE ST, PULASKI, TN 38478-4315
(931) 363-1388
Mailing address
829 HIGHLAND PARK CT, NASHVILLE, TN 37205-4003
(731) 345-5997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009
TN
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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