Individual provider · Type 1 NPI

Shannon Wilson, RDH

Dental Hygienist · Broomfield, CO

NPI number 1639080088 Active

Practice location

925 Main St Ste C
Broomfield, CO 80020-1976

Call (303) 469-3600 Map

Mailing address

3909 W 99th Pl
Westminster, CO 80031-2645

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH.000906327 (CO)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1639080088

Shannon Wilson, RDH's National Provider Identifier is 1639080088, issued on Sep 15, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Broomfield, CO. The record was last updated on Sep 15, 2026.