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Mary Shannon, DDS
NPI 1760528525 · Pediatric Dentistry · Los Angeles, CA
Mary Shannon, DDS is a Pediatric Dentistry provider in Los Angeles, CA (NPI 1760528525).
Provider details
- NPI number
- 1760528525
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 48769 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
11980 San Vicente Blvd Ste 906
Los Angeles, CA 90049-6607
Phone: (310) 998-8999
Fax: (310) 998-8999
Street-level locationGet directions
Mailing address
357 S Glenroy Ave
Los Angeles, CA 90049-3136
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2012-09-26
Frequently asked questions
- What is Mary Shannon's NPI number?
- Mary Shannon's National Provider Identifier (NPI) is 1760528525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Shannon's specialty?
- Mary Shannon is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Mary Shannon located?
- Mary Shannon's practice location on file with NPPES is 11980 San Vicente Blvd Ste 906, Los Angeles, CA 90049-6607.
- What is Mary Shannon's phone number?
- The practice phone number listed in the NPPES registry for Mary Shannon is (310) 998-8999.
- Is Mary Shannon's NPI active?
- Yes — Mary Shannon's NPI (1760528525) is active in the NPPES registry as of the last update on 2012-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.