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Timothy Patrick Shannon, DMD
General Practice Dentistry in Milwaukie, Oregon
NPI 1770641128

Timothy Patrick Shannon is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Timothy Patrick Shannon practices in Milwaukie, OR and has the professional credentials of DMD. The NPI Number for Timothy Patrick Shannon is 1770641128 and holds a License No. D6975 (Oregon).

The current practice location address for Timothy Patrick Shannon is 4450 Se Johnson Creek Blvd, Milwaukie, OR and can be reached out via phone at 503-654-7773 and via fax at 503-654-7774.

Location: 4450 Se Johnson Creek Blvd, Milwaukie, OR, 97202-8533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770641128
Provider Name
Timothy Patrick Shannon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4450 Se Johnson Creek Blvd, Milwaukie, OR, 97202-8533
Phone Number
503-654-7773
Fax Number
503-654-7774
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4450 Se Johnson Creek Blvd
City
Milwaukie
State
Oregon
Zip
97222-9217
Phone Number
503-654-7773
Fax Number
503-654-7774
person
Provider Business Mailing Address Details
Address
4450 Se Johnson Creek Blvd
City
Milwaukie
State
Oregon
Zip
97222-9217
Phone Number
503-654-7773
Fax Number
503-654-7774
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D6975 (Oregon)
Definition
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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