Timothy P. Shannon D.M.D., P.C. in Milwaukie - General Practice
Timothy P. Shannon D.M.D., P.C. - NPI 1982706677
Timothy P. Shannon D.M.D., P.C. is a General Practice in Milwaukie, Oregon. Timothy P. Shannon D.M.D., P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy P. Shannon D.M.D., P.C. is 1982706677. The last update date is 2020-08-22.
Timothy P. Shannon D.M.D., P.C.'s current location address is 4450 Se Johnson Creek Blvd, Milwaukie, Oregon. You can contact this provider via phone number 5036547773 and fax number 5036547774. The mailing address for Timothy P. Shannon D.M.D., P.C. is 4450 Se Johnson Creek Blvd, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy P. Shannon D.M.D., P.C. |
|---|---|
| Address | 4450 Se Johnson Creek Blvd, Milwaukie, Oregon |
| Phone Number | 5036547773 |
| Fax Number | 5036547774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shannon Patrick Timothy |
| Credentials | D.M.D. |
| Telephone Number | 5036547773 |
NPI Number Detail
| NPI Number | 1982706677 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4450 Se Johnson Creek Blvd |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972229217 |
| Phone Number | 5036547773 |
| Fax Number | 5036547774 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6975 |
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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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What is the unique 10-digit identification code issued to Timothy P. Shannon D.M.D., P.C. by the Centers for Medicare & Medicaid Services?
The Timothy P. Shannon D.M.D., P.C. has been assigned the NPI (National Provider Identifier) 1982706677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Timothy P. Shannon D.M.D., P.C.'s physical address?
The Timothy P. Shannon D.M.D., P.C. is physically located at 4450 Se Johnson Creek Blvd, in the city of Milwaukie, OR, with the postal code 972229217.
What is the Timothy P. Shannon D.M.D., P.C.'s area of specialization and corresponding taxonomy classification?
The Timothy P. Shannon D.M.D., P.C.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Timothy P. Shannon D.M.D., P.C. receive its 1982706677 assignment from the Centers for Medicare & Medicaid Services?
The Timothy P. Shannon D.M.D., P.C. was assigned its 1982706677 on 2006-09-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Timothy P. Shannon D.M.D., P.C. most recently updated or refreshed?
The details pertaining to the Timothy P. Shannon D.M.D., P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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