Shanon Black, DDS
NPI 1003549122 · General Practice Dentistry · Stillwater, OK
Shanon Black, DDS is a General Practice Dentistry provider in Stillwater, OK (NPI 1003549122).
Provider details
- NPI number
- 1003549122
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7631 (OK)
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.