Shannon Coffey, DDS Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1548830615
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 11586 (TN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-06-30
- Last updated
- 2023-03-22
Practice location
Unit 33100
Apo, AE 09180-3100
(314) 590-1110