DR. Shannon Harris Wailes, DDS is a student in an organized health care education training program in Brooklyn, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Shannon Harris Wailes, DDS NPI is 1588203392. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1545 ATLANTIC AVE
BROOKLYN, NY
ZIP 11213-122
Phone: (718) 613-7140
The enumeration date for this NPI number is 12/26/2019 and was last updated on 12/26/2019.