Timothy P. Shannon D.m.d., P.c.

NPI #1982706677 in Milwaukie, Oregon

Provider Information

NPI Number: 1982706677
Entity Type: Organization
Organization Name: Timothy P. Shannon D.m.d., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4450 SE JOHNSON CREEK BLVD
City: Milwaukie
State: Oregon
ZIP Code: 97222-9217
Phone: (503) 654-7773

Authorized Official

Name: TIMOTHY PATRICK SHANNON, D.M.D.
Title: PRESIDENT
Phone: (503) 654-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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