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1417338989
SHANNON SMITH WHEELER
LOUISVILLE, KY
NPI
1417338989
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Former Name
SHANNON L SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 9585)
Enumeration Date
2015-06-10
Last Update Date
2023-01-25
Business Address
SHANNON SMITH WHEELER DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-772-8160
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Mailing Address
SHANNON SMITH WHEELER DMD
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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