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DR. MICHAEL DEAN SHANNON D.S.S.
NPI 1982787024
Dentist - Periodontics in Minot, ND

Active since October 23, 2006
315 MAIN ST S, SUITE 302, MINOT, ND 58701(701) 839-7288(701) 839-1574 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Dean Shannon D.s.s. NPPES

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

DR. MICHAEL DEAN SHANNON D.S.S. (NPI 1982787024) is an individual periodontics provider in Minot, North Dakota, licensed in North Dakota (1854) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1982787024
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL DEAN SHANNONCredential: D.S.S.
Location Address315 MAIN ST S, SUITE 302Minot, ND 58701-3956
Mailing Address315 Main St S, Suite 302Minot, ND 58701-3956 · (701) 839-7288 · Fax (701) 839-1574
Phone(701) 839-7288
Fax(701) 839-1574
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982787024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ND · 1854
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
315 MAIN ST S, Minot, ND 58701
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Other Providers at the Same Location NPPES 6

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

MR. MIKE VINCENT BURCKHARD LICSW
Counselor (Mental Health)
315 MAIN ST S, SUITE 315
MINOT, ND 58701
Ward County (701) 852-5876
LACEY CORNELIUSEN, LICSW, LLC
Social Worker (Clinical)
315 MAIN ST S, STE 301
MINOT, ND 58701
Ward County (406) 939-1976
JORDYN BROWN M.S.
Speech-Language Pathologist
315 MAIN ST S, SUITE 104
MINOT, ND 58701
Ward County (701) 837-9801
DR. RAJNIKANT LILADHAR MEHTA MD
Physical Medicine & Rehabilitation
315 MAIN ST S, SUITE 102
MINOT, ND 58701
Ward County (701) 839-6664
MRS. JANET LEE MAXSON APNP, PHD
Nurse Practitioner
315 MAIN ST S, SUITE 205
MINOT, ND 58701
Ward County (701) 857-5854
LACEY CORNELIUSEN, LICSW, LLC
Social Worker (Clinical)
315 MAIN ST S, STE 301
MINOT, ND 58701
Ward County (701) 838-1558

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 Michael Shannon's NPI number?

The NPI number for Michael Shannon is 1982787024. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Michael Shannon located?

Michael Shannon practices at 315 Main St S Suite 302, Minot, ND 58701. The listed phone number is (701) 839-7288.

What is Michael Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Michael 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.