SHANNON CANDID ALASKA, P.C. (NPI# 1366059438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366059438 |
| Entity Type | Organization |
| Organization Name | SHANNON CANDID ALASKA, P.C. |
| Practice Address |
721 Depot Dr Anchorage AK 99501-1615 |
| Practice 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
721 DEPOT DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518187210 | Jack B Duclos | Dentist | 1836 W Northern Lights Blvd, Anchorage, AK 99517-3342 | 2007-04-26 |
| 1679697924 | Ronald I Glaeser | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2007-03-19 |
| 1194864025 | Richard L. Day | Dentist | 10998 O'malley Centre Dr., Suite A, Anchorage, AK 99515 | 2007-02-06 |
| 1548321995 | Jeffrey W Symonds | Dentist | 1000 Omalley Road, Suite 105, Anchorage, AK 99515 | 2006-12-12 |
| 1902815798 | Michael Leo Koropp | Dentist | 2700 W Dimond Blvd, Anchorage, AK 99502-1603 | 2006-08-08 |
| 1629319132 | Kenneth M Eberle | Dentist | 3909 Arctic Blvd Ste 202, Anchorage, AK 99503-5769 | 2013-03-07 |
| 1356609192 | John Joseph Murray Jr. | Dentist | 12350 Industry Way, Suite 205, Anchorage, AK 99515 | 2012-04-30 |
| 1023267796 | Keith C Coombs | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2008-09-17 |
| 1598957052 | Rebecca V Neslund | Dentist | 4201 Tudor Centre Dr, Suite 320, Anchorage, AK 99508-5904 | 2007-08-17 |
| 1619096203 | Derek N Priebe | Dentist | 3401 Denali St, 203, Anchorage, AK 99503-4034 | 2007-03-28 |
| Find all providers in ANCHORAGE | ||||
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| 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.