Timothy Shanahan, DDS

NPI 1528201902 · on the registry since 2009 · sole proprietor

Practice

Address: 3941 75th St
Suite 103
Aurora, IL 60504
Phone: (630) 375-8380
Fax: (630) 375-8378
Organisation at this address: Meadow Lake Dental Llc
J.H. Cheung, D.D.S., P.C.
Meadow Lake Dental Care P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-04-14

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