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Shannon Kelly Blair, DDS
General Practice Dentistry in Penasco, New Mexico
NPI 1841823143

Shannon Kelly Blair is a General Practice Dentistry based in Espanola, NM and is specialized in General Practice. Shannon Kelly Blair practices in Penasco, NM and has the professional credentials of DDS. The NPI Number for Shannon Kelly Blair is 1841823143 and holds a License No. DDS106783 (New Mexico).

The current practice location address for Shannon Kelly Blair is 15136 Nm-75, Penasco, NM and can be reached out via phone at 575-587-2205.

Location: 15136 Nm-75, Penasco, NM, 87532-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841823143
Provider Name
Shannon Kelly Blair
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
15136 Nm-75, Penasco, NM, 87532-0158
Phone Number
575-587-2205
Fax Number
Provider Enumeration Date
02/15/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
15136 Nm-75
City
Penasco
State
New Mexico
Zip
87553
Phone Number
575-587-2205
Fax Number
person
Provider Business Mailing Address Details
Address
15136 Nm-75
City
Penasco
State
New Mexico
Zip
87553
Phone Number
575-587-2205
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DDS106783 (California)
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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