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DR. ROBERT EDWARD SHANNON JR. DDS
NPI 1497895916
Dentist in Chester, SC

Active since February 07, 2007PECOS Enrolled
754 WILSON STREET EXTENSION, CHESTER, SC 29706(803) 377-1997(803) 581-7332 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Edward Shannon Jr. Dds NPPES

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

DR. ROBERT EDWARD SHANNON JR. DDS (NPI 1497895916) is an individual dentist in Chester, South Carolina, licensed in South Carolina (1505) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497895916
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROBERT EDWARD SHANNON JR.Credential: DDS
Location Address754 WILSON STREET EXTENSIONChester, SC 29706-0840
Mailing AddressPo Box 840Chester, SC 29706-0840 · (803) 377-1997 · Fax (803) 581-7332
Phone(803) 377-1997
Fax(803) 581-7332
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497895916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 1505
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.
754 WILSON STREET EXTENSION, Chester, SC 29706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Edward Shannon Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Robert Shannon's NPI number?

The NPI number for Robert Shannon is 1497895916. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Robert Shannon located?

Robert Shannon practices at 754 Wilson Street Extension, Chester, SC 29706. The listed phone number is (803) 377-1997.

What is Robert Shannon's specialty?

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

Is Robert Shannon enrolled in Medicare?

Yes. Robert Shannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.