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DR. NIKOLAI JOHN SHANNON DDS
NPI 1114976321
Dentist in Xenia, OH

Active since May 08, 2006
260 N DETROIT ST, SUITE 2, XENIA, OH 45385(937) 372-7625(937) 372-7626 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. Nikolai John Shannon Dds NPPES

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

DR. NIKOLAI JOHN SHANNON DDS (NPI 1114976321) is an individual dentist in Xenia, Ohio, licensed in Ohio (14469) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114976321
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NIKOLAI JOHN SHANNONCredential: DDS
Location Address260 N DETROIT ST, SUITE 2Xenia, OH 45385-2268
Mailing Address260 N Detroit St, Suite 2Xenia, OH 45385-2268 · (937) 372-7625 · Fax (937) 372-7626
Phone(937) 372-7625
Fax(937) 372-7626
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114976321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 14469
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.
260 N DETROIT ST, Xenia, OH 45385
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Other Identifiers 1

OtherAS6000020OH · Bndd Federal Number

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 Nikolai Shannon's NPI number?

The NPI number for Nikolai Shannon is 1114976321. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Nikolai Shannon located?

Nikolai Shannon practices at 260 N Detroit St Suite 2, Xenia, OH 45385. The listed phone number is (937) 372-7625.

What is Nikolai 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 Nikolai 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.