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Active NPI 1366746117 Individual Practitioner Male Practitioner

Dr. Jack A Shannon , DDS

Dentist • Taft, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jack Shannon, DDS is a registered healthcare professional specializing in Dentist in Taft, OK. Practice services are available at 601 S 124TH ST. WEST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

601 S 124th St. West

Taft, OK 74463

Telephone 9186827841
Fax 9186826107

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Taft, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Taft, OK (1115 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 5531

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lawrence Trombka , MD

Psychiatry & Neurology - Psychiatry

NPI 1295030484

Doctor of Medicine (M.D.)

Jamey Vandiver , MS

Counselor - Mental Health

NPI 1700946738

Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2011

Registered at 601 S 124TH ST. WEST, TAFT, OK 74463 (Tel: 9186827841)

📍
Updated Business Mailing Address January 07, 2011

Registered at 9807 S 225TH EAST AVE, BROKEN ARROW, OK 740145928 (Tel: 9185195751)

👤
Provider Name / Credentials Updated January 07, 2011

Recorded as JACK SHANNON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2011

Dentist (License #5531 in OK)

🟢
Initial NPI Registration & Enumeration January 07, 2011

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: 1366746117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2011
Last Update: January 07, 2011
Sole Proprietor: No

Mailing Address

9807 S 225th East Ave

Broken Arrow, OK 740145928

Phone: 9185195751

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.