Dr. Shannon Daughtry , DDS
Dentist - General Practice • Brawley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shannon Daughtry has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Shannon Daughtry, DDS was a registered Dentist - General Practice practicing in Brawley, CA. Throughout an active medical career spanning 17 years, Dr. Daughtry provided care at the practice location at 250 MAIN ST until profile deactivation on 2023-04-12.
Practice Location & Contact Primary Location
250 Main St
Brawley, CA 922272351
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Brawley, CA
Practicing in Brawley, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 12, 2023
NPI status registered as active in NPPES database
Registered at 250 MAIN ST, BRAWLEY, CA 922272351 (Tel: 7603443262)
Registered at 250 MAIN ST, BRAWLEY, CA 922272351 (Tel: 7603443262)
Recorded as SHANNON DAUGHTRY, D.D.S.
Dentist (License #42141 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
250 Main St
Brawley, CA 922272351
Phone: 7603443262
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