NPI

Shannon Mara Coen

NPI 1497900914

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DMD
Type
Individual
Enumeration date
2008-11-25
Last updated
2025-12-11

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Specialties

Licenses

License AZ
D7588

Location

Practice location
16080 N 59th Ave, Suite A
City
Glendale AZ
Postal code
85306-2339
Phone
(602) 978-1100

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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