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Aj Shannon DMD PLC — NPI 1962790261, Vienna, VA | NPI Central

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NPI 1962790261

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Aj Shannon DMD PLC

NPI 1962790261 · Pediatric Dentistry · Vienna, VA

Provider details

NPI number: 1962790261
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Andrew Shannon, Dentist
License: 0401411773 (VA)

Practice location

301 Maple Ave W

Suite 200

Vienna, VA 22180-4301

Phone: (703) 319-8370

Fax: (703) 319-8371

More VA providers

Mailing address

301 Maple Ave W

Vienna, VA 22180-4301

Registry dates

Enumerated: 2011-07-20
Last updated: 2011-07-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.