Shanna G. Burress, DMD, PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHANNA G. BURRESS, DMD, PSC

Practice address

2425 Scottsville Rd Ste 120
Bowling Green, KY 42104-4457

Phone

(270) 393-4818

NPI assigned

Aug 17, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanna G Burress, DMD

Title

Practice Owner

Phone

(270) 393-4818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1356821441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SCOTTSVILLE RD STE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044457",
            "telephone_number": "270-393-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SCOTTSVILLE RD STE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044457",
            "telephone_number": "270-393-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA G. BURRESS, DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BURRESS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "270-393-4818",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Shaddox
• David Shadowen, M.D.
• Vivek Prakash Shah
• Morteza Shahmir, M.D.
• Areeba Shahnawaz, MD
• Dawn Shannon, CSW
• Jacqualyn D Shannon
• Kyra Loraine Sharp, APRN
• Kellyanne Shaw
• Ryan Shaw, D.C.

• Dentist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.