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DR. JACK A SHANNON DDS
NPI 1366746117
Dentist in Taft, OK

Active since January 07, 2011
601 S 124TH ST. WEST, TAFT, OK 74463(918) 682-7841(918) 682-6107 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack A Shannon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK A SHANNON DDS (NPI 1366746117) is an individual dentist in Taft, Oklahoma, licensed in Oklahoma (5531) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1366746117
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK A SHANNONCredential: DDS
Location Address601 S 124TH ST. WESTTaft, OK 74463
Mailing Address9807 S 225th East AveBroken Arrow, OK 74014-5928 · (918) 519-5751
Phone(918) 682-7841
Fax(918) 682-6107
Sole ProprietorNo
Enumeration DateJanuary 7, 2011
✔ NPI 1366746117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 5531
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
601 S 124TH ST. WEST, Taft, OK 74463
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Shannon's NPI number?

The NPI number for Jack Shannon is 1366746117. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Jack Shannon located?

Jack Shannon practices at 601 S 124th St. West, Taft, OK 74463. The listed phone number is (918) 682-7841.

What is Jack Shannon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Shannon was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.