Aj Shannon Dmd Plc is a Pediatric Dental Clinic in Vienna, Virginia. It is located at 301 Maple Ave W, Suite 200, Vienna, VA and its contact number is 703-319-8370. The authorized person for Aj Shannon Dmd Plc is Andrew Jason Shannon
who is Dentist of the clinic and their contact number is 571-230-8051. The primary license number for Aj Shannon Dmd Plc is 0401411773 (Pediatric Dentistry) in Virginia. Aj Shannon Dmd Plc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Aj Shannon Dmd Plc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Aj Shannon Dmd Plc
Specialization:
Pediatric Dentistry
Clinic Address:
301 Maple Ave W, Suite 200, Vienna, Virginia, 22180-4301
Phone:
703-319-8370
Fax:
703-319-8371
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Andrew Jason Shannon
Position:
Dentist
Contact Number:
571-230-8051
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Aj Shannon Dmd Plc clinic are as mentioned below.
NPI Number:
1962790261
NPI Enumeration Date:
20 Jul, 2011
NPI Last Update On:
20 Jul, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Aj Shannon Dmd Plc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
0401411773
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1982825097
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Aj Shannon Dmd Plc 301 Maple Ave W, Suite 200 Vienna, Virginia
Zip:
22180-4301
Phone Number:
703-319-8370
Fax Number:
703-319-8371
Patients can reach Aj Shannon Dmd Plc at 301 Maple Ave W, Suite 200, Vienna, Virginia or can call to book an appointment on 703-319-8370. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.