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Michael Shannon, DDS
NPI 1912103946 · on the registry since 2007 · sole proprietor
Practice
- Address
- 13360 Coursey Blvd Ste D
Baton Rouge, LA 70816 - Phone
- (225) 752-1252
- Fax
- (225) 752-8348
- Organisation at this address
- Changing Minds Psychiatry La Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 8585 Picardy Ave, Baton Rouge, LA
- 4950 Essen Ln, Baton Rouge, LA
Registry record
- Primary taxonomy
- Prosthodontics
1223P0700X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-20
- Status
- Not present in the most recent federal file
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 Louisiana