DR. SHANNON S LIVINGSTON , MD in BOERNE - NPI - 1477547099
DR. SHANNON S LIVINGSTON is a dentist based out of BOERNE,Texas DR. SHANNON practices in BOERNE,Texas and has the professional credentials of MD .The NPI Number for DR. SHANNON S LIVINGSTON is 1477547099 and he holds a Licence No. M0330(Texas).
DR. SHANNON current practice location address is 138 HWY 46 W,,BOERNE,Texas and he can be reached out via phone at 8306309020 and via fax at8306269037. You can also correspond with DR. SHANNON S LIVINGSTON through mail at his mailing address at138 HWY 46 W,,BOERNE,Texas – 78006 (mailing address contact number – 780063332).
Provider Profile Details
| NPI Number | 1477547099 |
| Provider Name | DR. SHANNON S LIVINGSTON |
| MD | |
| Gender | 43784 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 207Q00000X |
| Last Update Date | 38604 |
Provider Business Mailing Address Details
| Address | 138 HWY 46 W, |
| City | BOERNE |
| State | Texas |
| Zip | 780063332 |
| Phone Number | 8306309020 |
Provider Business Practice Location Address Details
| Address | 138 HWY 46 W, |
| City | BOERNE |
| State | Texas |
| Zip | 78006 |
| Phone Number | 8306309020 |
Provider's Primary Taxonomy Details
| Taxonomy | 207Q00000X |
| License No. | M0330 |
| State | Texas |