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TIMOTHY M. SHANAHAN DDS
NPI 1528201902
Dentist - General Practice in Aurora, IL

Active since April 14, 2009
3941 75TH ST, SUITE 103, AURORA, IL 60504(630) 375-8380(630) 375-8378 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy M. Shanahan Dds NPPES

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

TIMOTHY M. SHANAHAN DDS (NPI 1528201902) is an individual general practice provider in Aurora, Illinois, licensed in Illinois (019-019174) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1528201902
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY M. SHANAHANCredential: DDS
Location Address3941 75TH ST, SUITE 103Aurora, IL 60504-7924
Mailing Address3941 75th St, Suite 103Aurora, IL 60504-7924 · (630) 375-8380 · Fax (630) 375-8378
Phone(630) 375-8380
Fax(630) 375-8378
Sole ProprietorYes
Enumeration DateApril 14, 2009
✔ NPI 1528201902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019-019174
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3941 75TH ST, Aurora, IL 60504
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Other Providers at the Same Location NPPES 3

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

MEADOW LAKE DENTAL LLC
Preferred Provider Organization
3941 75TH ST, SUITE 102
AURORA, IL 60504
Dupage County (630) 851-5130
J.H. CHEUNG, D.D.S., P.C.
Dentist
3941 75TH ST, SUITE 103
AURORA, IL 60504
Dupage County (630) 375-8380
MEADOW LAKE DENTAL CARE P.C.
Dentist (General Practice)
3941 75TH ST, SUITE 102
AURORA, IL 60504
Dupage County (630) 851-5130

Frequently Asked Questions

What is Timothy Shanahan's NPI number?

The NPI number assigned to this healthcare provider is 1528201902, enumerated as an "individual" on April 14, 2009.

Where is the provider located?

The provider is located at 3941 75TH ST SUITE 103 AURORA, IL 60504 and the phone number is (630) 375-8380.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.