OrganizationActive
Timothy P. Shannon D.M.D., P.C.
NPI 1982706677 · General Practice Dentistry · Milwaukie, OR
Timothy P. Shannon D.M.D., P.C. is a General Practice Dentistry organization in Milwaukie, OR (NPI 1982706677).
Provider details
- NPI number
- 1982706677
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Shannon, President(503) 654-7773
- License
- D6975 (OR)
Practice location
4450 Se Johnson Creek Blvd
Milwaukie, OR 97222-9217
Phone: (503) 654-7773
Fax: (503) 654-7774
Street-level locationGet directions
Mailing address
4450 Se Johnson Creek Blvd
Milwaukie, OR 97222-9217
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.