Dr. Richard J Shanahan
Orthodontists
109 Watertown Ave
Waterbury
, Connecticut 06708-2623
Dr. Richard J Shanahan
Orthodontists
109 Watertown Ave
Waterbury
, Connecticut 06708-2623
(203) 754-7822
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Richard J Shanahan
- 109 Watertown Ave
- Waterbury, CT
- Zip : 06708-2623
- Fax : (203) 754-7822
- Phone : (203) 754-7100
Second Address
- Dr. Richard J Shanahan
- 109 Watertown Ave
- Waterbury, CT
- Zip : 06708-2623
- Fax : (203) 754-7822
- Phone : (203) 754-7100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 03101 | CT |
National Provider Identifier
| NPI | 1023008893 |
|---|---|
| Provider Name | Dr. Richard J Shanahan |
| First Address | Waterbury, CT 06708-2623 |
| Second Address | Waterbury, CT 06708-2623 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.