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Search › Virginia › General Practice Dentistry

Theresa Shannon, DDS

NPI 1114111671 · on the registry since 2007

Practice

Address
5205 Leesburg Pike
Ste 101 Jack C Phass Jr Dds Inc
Falls Church, VA 22041
Phone
(703) 824-0055
Fax
(703) 998-9859
Organisation at this address
Jack C Phass Jr Dds Inc
Anita Kianimanesh D.M.D, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia