Individual provider · Type 1 NPI

Shannon Schober, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Portland, OR

NPI number 1326524133 Active

Practice location

2730 SW Moody Ave
Portland, OR 97201-5042

Call (503) 494-1352 Map

Mailing address

5870 Verona St S
Salem, OR 97306-4122

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDEN-DEN-LIC-23530 (MT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD11222 (OR)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X1577 (WY)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XD1291 (SD)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1326524133

Shannon Schober, DMD's National Provider Identifier is 1326524133, issued on Jul 15, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2023.