Search › Illinois › 1223G0001X
Ziad Shannis, DDS
NPI 1326527623 · on the registry since 2018
Practice
- Address
- 1905 Montana Dr
Springfield, IL 62704 - Phone
- (817) 903-7945
- Organisation at this address
- Willowglen Academy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 8141 Sw 24th Ct Apt 107, Davie, FL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-06
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 Illinois