Bryan J Shanahan is a Flagstaff, Arizona based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Bryan J Shanahan is 4241 for General Practice Dentistry in Arizona. His current practice location is 750 N Kendrick St Ste 100, Flagstaff. Patients can reach him at 928-774-2500.
Bryan J Shanahan is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Bryan J Shanahan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Bryan J Shanahan
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
750 N Kendrick St Ste 100, Flagstaff, Arizona, 86001-3067
Phone:
928-774-2500
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 are as mentioned below.
NPI Number:
1265505226
NPI Enumeration Date:
16 Nov, 2006
NPI Last Update On:
22 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan J Shanahan are as mentioned below.
License Number
Specialization
State
Status
4241
General Practice Dentistry
Arizona
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bryan J Shanahan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
860783790
Other
Arizona
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
750 N Kendrick St Ste 100, Flagstaff, Arizona
Zip:
86001-3067
Phone Number:
928-774-2500
Patients can reach Bryan J Shanahan at 750 N Kendrick St Ste 100, Flagstaff, Arizona or can call to book an appointment on 928-774-2500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.