Provider Demographics
NPI:1598799603
Name:FRENCH, SHANNON I (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:I
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3602
Mailing Address - Country:US
Mailing Address - Phone:910-641-3914
Mailing Address - Fax:910-640-1088
Practice Address - Street 1:304 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3602
Practice Address - Country:US
Practice Address - Phone:910-641-3914
Practice Address - Fax:910-640-1088
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006015345122300000X
NC9039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist