Mary Vivianne Shannon DDS

  • NPI 1760528525
According to our database, the NPI number for Mary Vivianne Shannon DDS is 1760528525 and activated since 17 years ago. Mary Vivianne Shannon DDS is an individual provider who specializes in Pediatric Dentistry, and the primary practice location is 11980 San Vicente Blvd Ste 906, Los Angeles, CA 90049. You can also contact Mary Vivianne Shannon DDS via telephone number is (310) 998-8999. Provider NPI information was last updated on 09/26/2012.

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Overview of Mary Vivianne Shannon DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/29/2007
  • Last updated: 09/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 48769
  • License State: CA

Provider Mailing Address

  • Address: 357 S Glenroy Ave
    Los Angeles, CA 90049
  • Phone: 310-869-1332
  • Fax: 310-471-3897

Provider Practice Location

  • Address: 11980 San Vicente Blvd Ste 906
    Los Angeles, CA 90049
  • Phone: 310-998-8999
  • Fax: 310-998-8999

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 48769
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: D48769
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Vivianne Shannon DDS?
  • A: The npi number for Mary Vivianne Shannon DDS is 1760528525.
  • Q: What are Mary Vivianne Shannon DDS's specialties?
  • A: Mary Vivianne Shannon DDS's specialties are Pediatric Dentistry and different specialities.
  • Q: What is the medical license for Mary Vivianne Shannon DDS?
  • A: The medical license number for Mary Vivianne Shannon DDS is 48769 and issued in CA in USA.
  • Q: Where is Mary Vivianne Shannon DDS practice location?
  • A: Mary Vivianne Shannon DDS is practicing at 11980 San Vicente Blvd Ste 906, Los Angeles, CA 90049.
  • Q: How to contact Mary Vivianne Shannon DDS?
  • A: You can contact Mary Vivianne Shannon DDS via 310-998-8999.
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