DR. THOMAS R SHANNON (NPI# 1780698845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780698845 |
| Entity Type | Individual |
| Full Name | DR. THOMAS R SHANNON |
| Credential | DDS |
| Practice Address |
354 Old Hook Rd Suite 201 Westwood NJ 07675-3246 |
| Practice Telephone | 2016643023 |
| Practice Fax Number | 2016640912 |
| Mailing Telephone | 2016643023 |
| Mailing Fax Number | 2016640912 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
TRS-9532 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982989414 | Thomas Harrison Shannon | Counselor | 5420 Davison Rd, Lapeer, MI 48446-2718 | 2011-10-16 |
| 1831351170 | Thomas Shannon | Technician | 13838 Fox Glove St, Winter Garden, FL 34787-4671 | 2008-06-27 |
| 1689781841 | Thomas Oswald Shannon | Surgery | 3115 College Park Drive, Ste 101, The Woodlands, TX 77384-4001 | 2006-08-24 |
| 1821079864 | Thomas Shannon Jr. | Podiatrist | 654 Philadelphia Ave, Shillington, PA 19607-2769 | 2005-11-08 |
| 1760644132 | Thomas Patrick Shannon | Dentist | 4320 44th St Sw, Grandville, MI 49418-2300 | 2008-06-27 |
| 1730260555 | Thomas H Shannon | Psychiatry & Neurology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-10-18 |
| Street Address |
354 OLD HOOK RD SUITE 201 |
| City | WESTWOOD |
| State | NJ |
| Zip Code | 07675-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894183 | Michael P Scherl | Otolaryngology | 354 Old Hook Rd, Suite 204, Westwood, NJ 07675-3246 | 2005-07-12 |
| 1508218256 | Esther Park | Audiologist | 354 Old Hook Rd, Suite 204, Westwood, NJ 07675-3246 | 2016-07-06 |
| 1346597770 | Northern Valley Ent & Facial Plastics, Pa | Otolaryngology | 354 Old Hook Rd, Suite 204, Westwood, NJ 07675-3246 | 2012-08-03 |
| 1942566054 | Bergen County Center for Educational & Psychological Services, LLC | Psychologist | 354 Old Hook Rd, Suite 203, Westwood, NJ 07675-3246 | 2012-04-03 |
| 1932418126 | Avishai Rosenstein | Physical Therapist | 354 Old Hook Rd, Suite G-01, Westwood, NJ 07675-3246 | 2010-10-05 |
| 1023346269 | Elizabeth A. Varas Md PC | Psychiatry & Neurology | 354 Old Hook Rd, Suite 102, Westwood, NJ 07675-3246 | 2009-11-30 |
| 1205060589 | Bergen Pediatric Therapy Center | Occupational Therapy Assistant | 354 Old Hook Rd, Suite 104, Westwood, NJ 07675-3246 | 2009-05-14 |
| 1912173899 | Raymond Walter Trevisan | Dentist | 354 Old Hook Rd, Suite 205, Westwood, NJ 07675-3248 | 2008-05-01 |
| 1922278761 | Suzanne C. Salamanca | Nurse Practitioner | 354 Old Hook Rd, Suite 102, Westwood, NJ 07675-3246 | 2008-03-07 |
| 1013106756 | Complete Chiropractic Wellness Center LLC | Chiropractor | 354 Old Hook Rd, 101, Westwood, NJ 07675-3246 | 2007-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| Find all providers in zip 07675 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972665875 | Bergen Periodontic Assoc LLC | Dentist | 333 Old Hook Road, Suite 104, Westwood, NJ 07675 | 2006-12-15 |
| 1942405360 | Kenneth Louis Fontecchio | Dentist | 402 High St, Westwood, MA 02090-1106 | 2007-06-16 |
| 1104910942 | Daniel E Distasi | Dentist | 700 Broadway Ste 64, Westwood, NJ 07675-1674 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.