DR. KIMONNIE SHANNON DDS
NPI 1649243460
Dentist - General Practice in Clanton, AL

Active since February 10, 2006
1141 JASPER DENNIS RD, CLANTON, AL 35045(205) 312-0001(205) 312-0002 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kimonnie Shannon Dds NPPES

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

DR. KIMONNIE SHANNON DDS (NPI 1649243460) is an individual general practice provider in Clanton, Alabama, licensed in Alabama (5483) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1649243460
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMONNIE SHANNONCredential: DDS
Location Address1141 JASPER DENNIS RDClanton, AL 35045-3783
Mailing Address230 E 10th St Ste 106Anniston, AL 36207-5771 · (256) 741-7340 · Fax (256) 741-7373
Fax(205) 312-0002
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 25, 2017
NPI 1649243460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · 5483
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 3255-03 (MS)
1141 JASPER DENNIS RD, Clanton, AL 35045

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1141 JASPER DENNIS RD
CLANTON, AL 35045
Dentist (Pediatric Dentistry)
1141 JASPER DENNIS RD
CLANTON, AL 35045
Dentist (General Practice)
1141 JASPER DENNIS RD
CLANTON, AL 35045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649243460, enumerated as an "individual" on February 10, 2006.

The provider is located at 1141 JASPER DENNIS RD CLANTON, AL 35045 and the phone number is (205) 312-0001.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Blue Cross. Please consult your insurance carrier or call the provider to verify.