Individual
DR. SHAWN P MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-9363
Mailing address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-9363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12080
MN
1223X2210X
Orofacial Pain Dentistry
Primary
VA0401416696
VA
Other
Enumeration date
12/22/2005
Last updated
12/05/2019
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