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TIMOTHY PATRICK SHANNON D.M.D.
NPI 1770641128
Dentist - General Practice in Milwaukie, OR

Active since December 05, 2006
4450 SE JOHNSON CREEK BLVD, MILWAUKIE, OR 97222(503) 654-7773(503) 654-7774 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Timothy Patrick Shannon D.m.d. NPPES

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

TIMOTHY PATRICK SHANNON D.M.D. (NPI 1770641128) is an individual general practice provider in Milwaukie, Oregon, licensed in Oregon (D6975) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1770641128
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY PATRICK SHANNONCredential: D.M.D.
Location Address4450 SE JOHNSON CREEK BLVDMilwaukie, OR 97222-9217
Mailing Address7524 Se 31st AvePortland, OR 97202-8533 · (503) 771-1106 · Fax (503) 654-7774
Phone(503) 654-7773
Fax(503) 654-7774
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770641128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6975
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.
4450 SE JOHNSON CREEK BLVD, Milwaukie, OR 97222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

TIMOTHY P. SHANNON D.M.D., P.C.
Dentist (General Practice)
4450 SE JOHNSON CREEK BLVD
MILWAUKIE, OR 97222
Clackamas County (503) 654-7773

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 Timothy Shannon's NPI number?

The NPI number for Timothy Shannon is 1770641128. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Timothy Shannon located?

Timothy Shannon practices at 4450 SE Johnson Creek Blvd, Milwaukie, OR 97222. The listed phone number is (503) 654-7773.

What is Timothy Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Timothy Shannon accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Timothy Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy 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.