SHANNON & HUNTER PC NPI 1295841757

NPI Information

  • NPI: 1295841757
  • Provider Name: SHANNON & HUNTER PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: NORTHEAST ORAL SURGERY & DENTAL IMPLANT CENTER
  • Address: 203 TURNPIKE ST
    STE G-2
    NORTH ANDOVOR, MA
    ZIP 01845
  • Phone: (978) 682-5255

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NPI Details

SHANNON & HUNTER PC is an oral and maxillofacial surgery dentist in North Andovor, MA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SHANNON & HUNTER PC NPI is 1295841757. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Northeast Oral Surgery & Dental Implant Center.

The provider's business location address is:

203 TURNPIKE ST
STE G-2
NORTH ANDOVOR, MA
ZIP 01845
Phone: (978) 682-5255
Fax: (978) 682-0656

The provider's authorized official is Michael Timothy Shannon .
The authorized official title is Oral & Maxillofacial Surgeon Presid and has the following contact phone number (978) 682-5255.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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