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SHANNON WILSON DDS PS
NPI 1710794979
Clinic/Center - Dental in Seattle, WA

Active since December 11, 2024
11730 15TH AVE NE, SEATTLE, WA 98125(206) 920-5430 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shannon Wilson Dds Ps NPPES

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

SHANNON WILSON DDS PS (NPI 1710794979) is a healthcare organization registered as a dental in Seattle, Washington and active in the NPI registry since December 2024. The organization lists Shannon Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710794979
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHANNON WILSON DDS PS
Location Address11730 15TH AVE NESeattle, WA 98125-5026
Mailing Address18529 Linden Ave NShoreline, WA 98133-3926 · (206) 920-5430
Phone(206) 920-5430
Organization SubpartNo
Authorized OfficialShannon WilsonOwner · (206) 920-5430
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1710794979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11730 15TH AVE NE, Seattle, WA 98125
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Other Providers at the Same Location NPPES 2

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

KIM OKAMURA DDS
Durable Medical Equipment & Medical Supplies
11730 15TH AVE NE
SEATTLE, WA 98125
King County (206) 362-3200
DR. KIM SUE OKAMURA DDS
Dentist
11730 15TH AVE NE
SEATTLE, WA 98125
King County (206) 362-3200

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 Wilson Dds Ps's NPI number?

The NPI number for Shannon Wilson Dds Ps is 1710794979. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Shannon Wilson Dds Ps located?

Shannon Wilson Dds Ps is located at 11730 15th Ave NE, Seattle, WA 98125. The listed phone number is (206) 920-5430.

What is Shannon Wilson Dds Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Shannon Wilson Dds Ps was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.