Smiles by Shannon Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES BY SHANNON DENTAL

Practice address

4400 Deer Path Rd Ste 101
Harrisburg, PA 17110-3908

Phone

(717) 956-6000

NPI assigned

Apr 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Shannon, DMDNPI 1083928782

Title

Ownder

Phone

(717) 956-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Shannon, D.M.D.

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1083928782
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1306409263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 STELLATA CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122763",
            "telephone_number": "717-364-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 DEER PATH RD STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103908",
            "telephone_number": "717-956-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY SHANNON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "717-956-6000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Martin Small, DO
• Karen B Small, RD, LDN
• Emily M. Smerilli, CRNP, FNP-C
• Richard R Smiga, RPH
• Smile Now Family Dental LLC
• Maura Smith-Mitsky, MD
• Aaron Richard Smith, DC
• Alexa Dawn Smith, D.O.
• Bethany Smith
• Breanna Rose Smith, DC

• Dental Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.