Individual
DR. SHANNON ALICIA WILLIAMS DASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1532 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2437
(839) 895-4584
Mailing address
1532 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11382
SC
122300000X
Dentist
33679
TX
1223G0001X
General Practice Dentistry
33679
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11382
DENTAL LICENSE
SC
01
—
33679
DENTAL LICENSE
TX
Enumeration date
04/23/2014
Last updated
05/06/2026
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