Healthcare Provider Details

I. General information

NPI: 1750240743
Provider Name (Legal Business Name): SHANIA MECHNIG-GIORDANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 23RD ST
LAWRENCE KS
66046-4902
US

IV. Provider business mailing address

10730 S LAKE RUN RD UNIT 3206
SOUTH JORDAN UT
84009-1869
US

V. Phone/Fax

Practice location:
  • Phone: 785-843-4333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number62421
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: