SHANNAN JESSE WALKER DDS
NPI 1043878358
Dentist in Great Lakes, IL

Q: What is Shannan Walker's NPI number?

The NPI number for Shannan Walker is 1043878358. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Shannan Walker's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Shannan Walker was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2019

2410 SAMPSON ST, GREAT LAKES, IL 60088(847) 688-3331 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannan Jesse Walker Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNAN JESSE WALKER DDS (NPI 1043878358) is an individual dentist in Great Lakes, Illinois, licensed in Colorado (DEN.00204008) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1043878358

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHANNAN JESSE WALKERCredential: DDS

Location Address2410 SAMPSON STGreat Lakes, IL 60088-2942

Mailing Address625 Scrub Oak RdManitou Springs, CO 80829-2543 · (607) 372-3186

Phone(847) 688-3331

Sole ProprietorYes

Enumeration DateMay 31, 2019

✔ NPI 1043878358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · DEN.00204008

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2410 SAMPSON ST, Great Lakes, IL 60088

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS WILLIAMS DMD

Dentist

2410 SAMPSON ST
NORTH CHICAGO, IL 60088

Lake County (647) 688-2469

ALEJANDRA RUIZ ORNELAS DDS

Dentist

2410 SAMPSON ST
NORTH CHICAGO, IL 60088

Lake County (847) 688-2469

JENNIFER ANN SELUZICKI WEST

Dentist (General Practice)

2410 SAMPSON ST
NORTH CHICAGO, IL 60088

Lake County (847) 688-2469

ROSS EVAN BAKER DDS

Dentist (General Practice)

2410 SAMPSON ST
NORTH CHICAGO, IL 60088

Lake County (847) 688-2469

MR. JOHNNY IFOPO

Specialist/Technologist, Other

2410 SAMPSON ST
GREAT LAKES, IL 60088

Lake County (520) 490-5187

MR. JOHN ALLAN CLAYTON FULLING IDC

Military Health Care Provider (Independent Duty Corpsman)

2410 SAMPSON ST, FISHER BMC #237
GREAT LAKES, IL 60088

Lake County (847) 688-5556

MRS. SAMANTHA L CHANG DMD

Dentist (General Practice)

2410 SAMPSON ST
GREAT LAKES, IL 60088

Lake County (847) 688-2469

MR. LUIS VICTOR FERNANDEZ

Military Health Care Provider (Independent Duty Corpsman)

2410 SAMPSON ST
GREAT LAKES, IL 60088

Lake County (847) 688-2469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannan Walker's NPI number?

The NPI number for Shannan Walker is 1043878358. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Shannan Walker located?

Shannan Walker practices at 2410 Sampson St, Great Lakes, IL 60088. The listed phone number is (847) 688-3331.

What is Shannan Walker's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shannan Walker was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.