Dr. Jack A Shannon is a Taft, Oklahoma based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack A Shannon is 5531 for Dentistry in Oklahoma. His current practice location is 601 S 124th St. West, Taft. Patients can reach him at 918-682-7841.
Dr. Jack A Shannon 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:
Dr. Jack A Shannon 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:
Dr. Jack A Shannon
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
601 S 124th St. West, Taft, Oklahoma, 74463
Phone:
918-682-7841
Fax:
918-682-6107
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:
1366746117
NPI Enumeration Date:
07 Jan, 2011
NPI Last Update On:
07 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack A Shannon are as mentioned below.
License Number
Specialization
State
Status
5531
Dentistry
Oklahoma
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9807 S 225th East Ave, Broken Arrow, Oklahoma
Zip:
74014-5928
Phone Number:
918-519-5751
Patients can reach Dr. Jack A Shannon at 601 S 124th St. West, Taft, Oklahoma or can call to book an appointment on 918-682-7841. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.