DR. SHANNON SHANNON D.D.S.
NPI 1063620706
Dentist in Riverside, IL

Active since May 18, 2007
21 N DELAPLAINE RD, RIVERSIDE, IL 60546(708) 447-2100(708) 447-0654 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Shannon D.d.s. NPPES

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

DR. SHANNON SHANNON D.D.S. (NPI 1063620706) is an individual dentist in Riverside, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063620706
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SHANNON SHANNONCredential: D.D.S.
Location Address21 N DELAPLAINE RDRiverside, IL 60546-2022
Mailing Address221 S Catherine AveLa Grange, IL 60525-2313 · (708) 579-9044 · Fax (708) 579-9044
Fax(708) 447-0654
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063620706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
21 N DELAPLAINE RD, Riverside, IL 60546

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
21 N DELAPLAINE RD
RIVERSIDE, IL 60546
Dentist (General Practice)
21 N DELAPLAINE RD
RIVERSIDE, IL 60546
Dentist
21 N DELAPLAINE RD
RIVERSIDE, IL 60546
Dentist (General Practice)
21 N DELAPLAINE RD
RIVERSIDE, IL 60546
Dentist
21 N DELAPLAINE RD
RIVERSIDE, IL 60546
Dentist (General Practice)
21 N DELAPLAINE RD
RIVERSIDE, IL 60546

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 Shannon Shannon's NPI number?

The NPI number for Shannon Shannon is 1063620706. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Shannon Shannon located?

Shannon Shannon practices at 21 N Delaplaine Rd, Riverside, IL 60546. The listed phone number is (708) 447-2100.

What is Shannon Shannon'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 Shannon Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.