DR. MICHAEL JOSEPH SHANNON DDS NPI 1912103946

NPI Information

  • NPI: 1912103946
  • Provider Name: DR. MICHAEL JOSEPH SHANNON, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13360 COURSEY BLVD STE D
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 752-1252

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NPI Details

DR. Michael Joseph Shannon, DDS is a prosthodontics dentist in Baton Rouge, LA with 26 years of experience. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Michael Joseph Shannon, DDS NPI is 1912103946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year:2000

The provider's business location address is:

13360 COURSEY BLVD STE D
BATON ROUGE, LA
ZIP 70816-024
Phone: (225) 752-1252
Fax: (225) 752-8348

The NPI 1912103946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/26/2007 and was last updated on 8/20/2024.

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
11223P0700XDentistProsthodontics5277LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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