Individual provider · Type 1 NPI

Shannon Murphy Thibodeau, DDS

Dentist · Wilsonville, OR

NPI number 1609564103 Active

Practice location

29292 SW Town Center Loop E Ste A
Wilsonville, OR 97070-9491

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD11973 (OR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1609564103

Shannon Murphy Thibodeau, DDS's National Provider Identifier is 1609564103, issued on Apr 24, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wilsonville, OR. The record was last updated on Aug 25, 2025.