OrganizationActive
Shannon S. Russell, DDS, Inc.
NPI 1902031974 · General Practice Dentistry · Arnold, CA
Shannon S. Russell, DDS, Inc. is a General Practice Dentistry organization in Arnold, CA (NPI 1902031974).
Provider details
- NPI number
- 1902031974
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shannon Russell, President(209) 795-1535
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2720 Highway 4
Suite 3 & 4
Arnold, CA 95223
Phone: (209) 795-1535
Fax: (209) 795-6733
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 29
Arnold, CA 95223-0029
Other names (DBA / former)
- Doing business as
- 1st Impressions Dentistry
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-05-20
Frequently asked questions
- What is Shannon S. Russell, DDS, Inc.'s NPI number?
- Shannon S. Russell, DDS, Inc.'s National Provider Identifier (NPI) is 1902031974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon S. Russell, DDS, Inc.?
- Shannon S. Russell, DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shannon S. Russell, DDS, Inc. located?
- Shannon S. Russell, DDS, Inc.'s practice location on file with NPPES is 2720 Highway 4, Arnold, CA 95223.
- What is Shannon S. Russell, DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shannon S. Russell, DDS, Inc. is (209) 795-1535.
- Who is the authorized official for Shannon S. Russell, DDS, Inc.?
- The authorized official listed on Shannon S. Russell, DDS, Inc.'s NPPES record is Shannon Russell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon S. Russell, DDS, Inc.'s NPI active?
- Yes — Shannon S. Russell, DDS, Inc.'s NPI (1902031974) is active in the NPPES registry as of the last update on 2009-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.