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SHANNON J DAUGHTRY DDS INC
NPI 1740478064
Dentist - General Practice in Brawley, CA

Active since October 11, 2007
250 MAIN ST, BRAWLEY, CA 92227(760) 344-3262(760) 344-1369 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon J Daughtry Dds Inc NPPES

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

SHANNON J DAUGHTRY DDS INC (NPI 1740478064) is a healthcare organization registered as a general practice in Brawley, California and active in the NPI registry since October 2007. The organization lists Lea Daughtry, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1740478064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHANNON J DAUGHTRY DDS INC
Location Address250 MAIN STBrawley, CA 92227-2351
Mailing Address250 Main StBrawley, CA 92227-2351 · (760) 344-3262 · Fax (760) 344-1369
Phone(760) 344-3262
Fax(760) 344-1369
Organization SubpartNo
Authorized OfficialLea DaughtryBusiness Manager · (760) 344-3262
Enumeration DateOctober 11, 2007
Last NPPES UpdateNovember 13, 2009
✔ NPI 1740478064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 42141
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.
250 MAIN ST, Brawley, CA 92227
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shannon J Daughtry Dds Inc's NPI number?

The NPI number for Shannon J Daughtry Dds Inc is 1740478064. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Shannon J Daughtry Dds Inc located?

Shannon J Daughtry Dds Inc is located at 250 Main St, Brawley, CA 92227. The listed phone number is (760) 344-3262.

What is Shannon J Daughtry Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shannon J Daughtry Dds Inc was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.