Provider Demographics
NPI:1699900829
Name:GEE, SHANNON MARIE (RDH)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:MARIE
Last Name:GEE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:MARIE
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:399 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-1859
Mailing Address - Country:US
Mailing Address - Phone:207-454-2350
Mailing Address - Fax:207-454-2879
Practice Address - Street 1:399 MAIN ST
Practice Address - Street 2:
Practice Address - City:CALAIS
Practice Address - State:ME
Practice Address - Zip Code:04619-1859
Practice Address - Country:US
Practice Address - Phone:207-454-2350
Practice Address - Fax:207-454-2879
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH2563124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist