IndividualActive
Andrew Shannon, D.M.D.
NPI 1982825097 · Pediatric Dentistry · Vienna, VA
Provider details
- NPI number
- 1982825097
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401411773 (VA)
Specialties & taxonomies
Dental Providers
Practice location
301 Maple Ave W
Suite 200
Vienna, VA 22180-4308
Phone: (571) 230-8915
Approximate (ZIP-level) locationGet directions
Mailing address
301 Maple Ave W
Vienna, VA 22180-4308
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2008-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.