Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aj Shannon DMD PLC

Organization Pediatric Dentistry · NPI 1962790261

Aj Shannon DMD PLC is a Pediatric Dentistry in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011

Practice location Address checks out

301 Maple Ave W Ste 200
Vienna, VA 22180-4301
Phone: (703) 319-8370
Fax: (703) 319-8371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 0401411773 (VA)

Record details

NPI number1962790261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Shannon — Dentist · (571) 230-8051
NPI enumeratedJuly 20, 2011
Last updated in NPPESJuly 20, 2011
Mailing address301 Maple Ave W, Suite 200, Vienna, VA 22180-4301

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