1255427399 NPI number — DR. SHANNON LEIGH DUFFY D.M.D.

Table of content: DR. SHANNON LEIGH DUFFY D.M.D. (NPI 1255427399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255427399 NPI number — DR. SHANNON LEIGH DUFFY D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUFFY
Provider First Name:
SHANNON
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255427399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
955 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
WINCHESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01890-1961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-729-1900
Provider Business Mailing Address Fax Number:
781-729-7102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 PONDMEADOW DR
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01867-3218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-944-7799
Provider Business Practice Location Address Fax Number:
781-944-1804
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  21496 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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