Individual
DR. MICHAEL JOSEPH SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13360 COURSEY BLVD STE D, BATON ROUGE, LA 70816-5024
(225) 752-1252
(225) 752-8348
Mailing address
13360 COURSEY BLVD STE D, BATON ROUGE, LA 70816-4970
(225) 752-1252
(225) 752-8348
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5277
LA
Other
Enumeration date
06/26/2007
Last updated
08/20/2024
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