Provider Demographics
NPI:1447339700
Name:PARSONS, SHANNON G (DMD)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:G
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:7751 BALLANTYNE COMMONS PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2442
Mailing Address - Country:US
Mailing Address - Phone:704-544-7033
Mailing Address - Fax:704-544-7032
Practice Address - Street 1:7751 BALLANTYNE COMMONS PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2442
Practice Address - Country:US
Practice Address - Phone:704-544-7033
Practice Address - Fax:704-544-7032
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2010-08-31
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Provider Licenses
StateLicense IDTaxonomies
NC69221223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery