Individual provider · Type 1 NPI

Timothy Patrick Shannon, DMD

General Practice Dentistry · Milwaukie, OR

NPI number 1770641128 Active

Practice location

4450 SE Johnson Creek Blvd
Milwaukie, OR 97222-9217

Call (503) 654-7773 Map

Fax (503) 654-7774

Mailing address

7524 SE 31st Ave
Portland, OR 97202-8533

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD6975 (OR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1770641128

Timothy Patrick Shannon, DMD's National Provider Identifier is 1770641128, issued on Dec 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 8, 2007.