| NPI | 1942458286 |
|---|---|
| Former Legal Business Name | SHANNON R THOMAS DMD |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN D WILLIAMS Owner 256-231-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AL AL4736) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AL 4736) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2019-06-07 |