Jack A. Shannon, DDS
Dentist · Taft, OK
Practice location
601 S 124TH St. WestTaft, OK 74463
- Phone
- (918) 682-7841
- Fax
- (918) 682-6107
NPI record
- NPI
- 1366746117
- Entity type
- Individual (Type 1)
- Enumeration date
- January 7, 2011
- Last updated
- January 7, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
5531 | OK |
Mailing address
9807 S 225TH East AveBroken Arrow, OK 74014-5928
- Phone
- (918) 519-5751
About Dr. Shannon
Jack A. Shannon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 601 S 124TH St. West, Taft, OK 74463. The NPI number 1366746117 was assigned on January 7, 2011 and the record was last updated on January 7, 2011.
Dr. Shannon lists a license in the registry: #5531 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack A. Shannon, DDS?
The NPI number is 1366746117.
What is the phone number of Dr. Shannon?
The phone number listed for the practice location is (918) 682-7841.
Where is Dr. Shannon located?
601 S 124TH St. West, Taft, OK 74463.
What is the taxonomy code for Dr. Shannon?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.