Provider Demographics
NPI:1295993020
Name:SHAUGHNESSY, BRIAN FRANCIS (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:FRANCIS
Last Name:SHAUGHNESSY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-1801
Mailing Address - Country:US
Mailing Address - Phone:508-358-2456
Mailing Address - Fax:
Practice Address - Street 1:233 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-1801
Practice Address - Country:US
Practice Address - Phone:508-358-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry