Shannon Denis Olivier, DT-DO-10156558
Denturist in Eugene, OR. Individual provider (NPI-1).
NPI number1619786597
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1619786597
- Entity type
- Individual (NPI-1)
- Name
- Shannon Denis Olivier
- Credential
- DT-DO-10156558
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 5, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DT-Do-10156558 | – | Yes |
Practice location
2377 Oakmont WayEugene, OR 97401-6459
Phone 542-762-2747
Mailing address
2377 Oakmont WayEugene, OR 97401-6459
Phone 541-762-2747
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