AJ SHANNON DMD PLC
NPI 1962790261
Dentist - Pediatric Dentistry in Vienna, VA

Active since July 20, 2011
301 MAPLE AVE W, SUITE 200, VIENNA, VA 22180(703) 319-8370(703) 319-8371 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aj Shannon Dmd Plc NPPES

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

AJ SHANNON DMD PLC (NPI 1962790261) is a healthcare organization registered as a pediatric dentistry in Vienna, Virginia and active in the NPI registry since July 2011. The organization lists Andrew Jason Shannon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1962790261
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAJ SHANNON DMD PLC
Location Address301 MAPLE AVE W, SUITE 200Vienna, VA 22180-4301
Mailing Address301 Maple Ave W, Suite 200Vienna, VA 22180-4301 · (703) 319-8370 · Fax (703) 319-8371
Fax(703) 319-8371
Organization SubpartNo
Authorized OfficialAndrew Jason ShannonDentist · (571) 230-8051
Enumeration DateJuly 20, 2011
NPI 1962790261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in VA · 0401411773
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
301 MAPLE AVE W, Vienna, VA 22180

Other Identifiers 1

Medicaid1982825097VA

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

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 MAPLE AVE W, SUITE 120
VIENNA, VA 22180
Dentist (Pediatric Dentistry)
301 MAPLE AVE W, SUITE 400
VIENNA, VA 22180
Dentist (Periodontics)
301 MAPLE AVE W, SUITE A
VIENNA, VA 22180
Chiropractor
301 MAPLE AVE W, STE 515
VIENNA, VA 22180
Dietitian, Registered
301 MAPLE AVE W, SUITE 120
VIENNA, VA 22180
Chiropractor (Rehabilitation)
301 MAPLE AVE W
VIENNA, VA 22180
Psychiatry & Neurology (Psychiatry)
301 MAPLE AVE W, # 230
VIENNA, VA 22180
Clinic/Center (Dental)
301 MAPLE AVE W, #440
VIENNA, VA 22180

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 Aj Shannon Dmd Plc's NPI number?

The NPI number for Aj Shannon Dmd Plc is 1962790261. It was assigned to this organization in the NPPES registry on July 20, 2011.

Where is Aj Shannon Dmd Plc located?

Aj Shannon Dmd Plc is located at 301 Maple Ave W Suite 200, Vienna, VA 22180. The listed phone number is (703) 319-8370.

What is Aj Shannon Dmd Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Aj Shannon Dmd Plc was last updated on July 20, 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.