Individual
DR. SHANNON WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2500 NE TWIN KNOLLS DR STE 250, BEND, OR 97701-4786
(541) 385-3104
(541) 797-6700
Mailing address
2500 NE TWIN KNOLLS DR STE 250, BEND, OR 97701-4786
(541) 385-3104
(541) 797-6700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10234
OR
390200000X
Student in an Organized Health Care Education/Training Program
D10234
OR
Other
Enumeration date
08/03/2015
Last updated
11/20/2018
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