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)
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
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
Other names (DBA / former)
- Other name
- Johnson Creek Dental Care
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Timothy P. Shannon D.M.D., P.C.'s NPI number?
- Timothy P. Shannon D.M.D., P.C.'s National Provider Identifier (NPI) is 1982706677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy P. Shannon D.M.D., P.C.?
- Timothy P. Shannon D.M.D., P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Timothy P. Shannon D.M.D., P.C. located?
- Timothy P. Shannon D.M.D., P.C.'s practice location on file with NPPES is 4450 Se Johnson Creek Blvd, Milwaukie, OR 97222-9217.
- What is Timothy P. Shannon D.M.D., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Timothy P. Shannon D.M.D., P.C. is (503) 654-7773.
- Who is the authorized official for Timothy P. Shannon D.M.D., P.C.?
- The authorized official listed on Timothy P. Shannon D.M.D., P.C.'s NPPES record is Timothy Shannon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy P. Shannon D.M.D., P.C.'s NPI active?
- Yes — Timothy P. Shannon D.M.D., P.C.'s NPI (1982706677) is active in the NPPES registry as of the last update on 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.