SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION


Address: 804 Main St, Baton Rouge, LA 70802-5528
Phone: 8604817631

SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION (NPI# 1336756436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336756436
Entity Type Organization
Organization Name SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION
Practice Address 804 Main St
Baton Rouge
LA 70802-5528
Practice Telephone 8604817631
Mailing Telephone 8604817631
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Authorized Official Name THOMAS SHANNON (DDS)
Authorized Official Telephone 8604817631
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Office Location

Street Address 804 MAIN ST
City BATON ROUGE
State LA
Zip Code 70802-5528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881113801 Mason D Ceasar Counselor 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 2017-09-11
1508389800 Arlette Henderson Counselor 4776 Adams Street, Baton Rouge, LA 70802 2017-07-19
1306375738 Raven Turner Social Worker 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 2017-06-08
1528597176 Maya Harvey Case Manager/Care Coordinator 1520 Thomas H Delpit, Baton Rouge, LA 70802 2017-06-07
1124554324 Heart & Key Transportation, LLC Non-emergency Medical Transport (VAN) 1716 North 18th Street, Baton Rouge, LA 70802 2017-05-08
1730628769 Abriel Hunter Counselor 3173 Washington Ave., Baton Rouge, LA 70802 2017-02-23
1528506284 Brennan Manning Counselor 1520 Thomas Delpit St., Baton Rouge, LA 70802 2017-02-02
1124570163 Ty Hightower Counselor 1520 Thomas Delpit, Baton Rouge, LA 70802 2016-10-25
1386190924 Callesha Lashawn Young Counselor 1539 North 23rd Street, Baton Rouge, LA 70802 2016-09-01
1598118705 Shenquie Jackson Counselor 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 2016-07-22
Find all providers in zip 70802

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396045498 Orthodontics of Baton Rouge, LLC Dentist 8460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2823 2010-10-25
1588841019 Sean Adrian Smith Dentist 9063 Siegen Ln, Suite C, Baton Rouge, LA 70810-1951 2008-01-28
1689790602 Keith R. Kyler Dentist 11964 Coursey Blvd, Baton Rouge, LA 70816-4405 2007-03-21
1336279520 Stephen L. Sherman Dentist 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 2007-03-06
1255461992 James F Sieberth Dentist 8170 Goodwood Blvd Ste B, Baton Rouge, LA 70806-7736 2007-03-06
1689700031 Kevin Paul Harris Dentist 5015 Bluebonnet Blvd, Baton Rouge, LA 70809-3084 2007-02-27
1891830212 Andre Maurice Fruge Dentist 12061 Bricksome Ave, Baton Rouge, LA 70816-2339 2007-02-21
1114003217 Rickey Lee Martin Dentist 7707 Old Hammond Hwy Ste 4, Baton Rouge, LA 70809-1262 2006-10-31
1407870983 Joseph R Porter Dentist 4451 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9639 2006-07-27
1619929262 James Sidney Langley Dentist 4809 Jones Creek Rd, Baton Rouge, LA 70817-1528 2006-05-16
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70802

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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