NPI 1710266317
Jayde D Shannon,, IPH
Practice location
- Address
- 50 Summer St, Millinocket, ME 04462-1400
- Phone
- (207) 528-2285
- Fax
- (207) 528-2880
- Mailing address
- PO Box 500, Patten, ME 04765-0500
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1710266317
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Aug 2011
- Record last updated
- 2 Sep 2016
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.