OrganizationActive
Shannon Wilson DDS Ps
NPI 1710794979 · Dental Clinic/Center · Seattle, WA
Shannon Wilson DDS Ps is a Dental Clinic/Center organization in Seattle, WA (NPI 1710794979).
Provider details
- NPI number
- 1710794979
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Wilson, Owner(206) 920-5430
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11730 15th Ave Ne
Seattle, WA 98125-5026
Phone: (206) 920-5430
Street-level locationGet directions
Mailing address
18529 Linden Ave N
Shoreline, WA 98133-3926
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Frequently asked questions
- What is Shannon Wilson DDS Ps's NPI number?
- Shannon Wilson DDS Ps's National Provider Identifier (NPI) is 1710794979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Wilson DDS Ps?
- Shannon Wilson DDS Ps is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shannon Wilson DDS Ps located?
- Shannon Wilson DDS Ps's practice location on file with NPPES is 11730 15th Ave Ne, Seattle, WA 98125-5026.
- What is Shannon Wilson DDS Ps's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wilson DDS Ps is (206) 920-5430.
- Who is the authorized official for Shannon Wilson DDS Ps?
- The authorized official listed on Shannon Wilson DDS Ps's NPPES record is Shannon Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Wilson DDS Ps's NPI active?
- Yes — Shannon Wilson DDS Ps's NPI (1710794979) is active in the NPPES registry as of the last update on 2024-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.