Provider Demographics
NPI:1336210129
Name:STOKES, SHANNON L (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:L
Last Name:STOKES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 COIT RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5444
Mailing Address - Country:US
Mailing Address - Phone:972-596-0200
Mailing Address - Fax:469-467-0603
Practice Address - Street 1:6861 COIT RD
Practice Address - Street 2:SUITE B
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5444
Practice Address - Country:US
Practice Address - Phone:972-596-0200
Practice Address - Fax:469-467-0603
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice