NPI 1417043407

Shannon P Patterson, DMD

Practitioner General Practice Dentistry Brookhaven, MS

Practice location

Address: 615 Highway 51 S, Brookhaven, MS 39601-3724
Phone: (601) 833-0746
Fax: (601) 833-0894

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2957-96 (MS)

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Registry record

NPI: 1417043407
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.