Individual
SHANNON E CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
362 N PINE ST STE C, SPARTANBURG, SC 29302-1631
(864) 398-4185
(864) 594-0040
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 398-4185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411458
VA
1223G0001X
General Practice Dentistry
Primary
8730
SC
Other
Enumeration date
08/31/2006
Last updated
02/23/2026
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