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

Dr. Michael Joseph Shannon, DDS

Individual provider Prosthodontics · NPI 1912103946

Dr. Michael Joseph Shannon, DDS is a Dentist in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Dentistry in 2000, 26 years ago. Practices with Mary Bird Perkins Cancer Center, a 90-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
26
Trained at
Louisiana State University School of Dentistry
Licensed in
LA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

13360 Coursey Blvd Ste D
Baton Rouge, LA 70816-5024
Phone: (225) 752-1252
Fax: (225) 752-8348
Show map & directions

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

Additional practice locations (2)

  • 8585 Picardy Ave, Baton Rouge, LA 70809-3748 — (225) 387-7000
  • 4950 Essen Ln, Baton Rouge, LA 70809-3738 — (225) 767-0847

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 5277 (LA)

Record details

NPI number1912103946
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2000 (26 years in practice)
Group practice Mary Bird Perkins Cancer Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Baton Rouge