DR. Shannon Kelly Blair, DDS
NPI #1841823143 in Penasco, New Mexico
Provider Information
- NPI Number
- 1841823143
- Entity Type
- Individual
- Name
- DR. Shannon Kelly Blair, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 15, 2020
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 201 K-2 BUFFALO TRAIL
- City
- Penasco
- State
- New Mexico
- ZIP Code
- 87553
- Phone
- (575) 251-8010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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