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Active NPI 1003549122 Individual Practitioner Female Practitioner

Dr. Shanon Black , DDS

Dentist - General Practice • Stillwater, OK

Professional Overview & Biography Verified Profile Summary

Dr. Shanon Black, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stillwater, OK. Practice services are available at 316 N MAIN ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

316 N Main St Ste 1

Stillwater, OK 740755548

Telephone 4053727474
Associated Practice Facility / Clinic
🏢 Stillwater Dentistry & Braces Facility NPI 1962924100

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stillwater, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
25 Specialists

Practicing in Stillwater, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 7631

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Lamont Gee , DDS

Dentist - General Practice

NPI 1144201328

Doctor of Dental Surgery

Dr. Tanner Thompson , DMD

Dentist - General Practice

NPI 1831028141

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2022

Registered at 316 N MAIN ST STE 1, STILLWATER, OK 740755548 (Tel: 4053727474)

📍
Updated Business Mailing Address July 06, 2022

Registered at 1208 S DUNCAN ST, STILLWATER, OK 740744427 (Tel: 7857668786)

👤
Provider Name / Credentials Updated July 06, 2022

Recorded as SHANON BLACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Dentist (License #7631 in OK)

🟢
Initial NPI Registration & Enumeration July 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003549122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2022
Last Update: July 06, 2022
Sole Proprietor: Yes

Mailing Address

1208 S Duncan St

Stillwater, OK 740744427

Phone: 7857668786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.