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JOHNSON CREEK DENTAL CARE
NPI 1982706677
Dentist - General Practice in Milwaukie, OR

Active since September 02, 2006
4450 SE JOHNSON CREEK BLVD, MILWAUKIE, OR 97222(503) 654-7773(503) 654-7774 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnson Creek Dental Care NPPES

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

JOHNSON CREEK DENTAL CARE (NPI 1982706677) is a healthcare organization registered as a general practice in Milwaukie, Oregon and active in the NPI registry since September 2006. The organization lists Timothy Patrick Shannon, President, as its authorized official.

NPPES Registry Identity

NPI1982706677
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY P. SHANNON D.M.D., P.C.
Location Address4450 SE JOHNSON CREEK BLVDMilwaukie, OR 97222-9217
Mailing Address4450 Se Johnson Creek BlvdMilwaukie, OR 97222-9217 · (503) 654-7773 · Fax (503) 654-7774
Phone(503) 654-7773
Fax(503) 654-7774
Organization SubpartNo
Authorized OfficialTimothy Patrick ShannonPresident · (503) 654-7773
Enumeration DateSeptember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982706677 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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Other Names 1

Other NameJohnson Creek Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 PATRICK SHANNON D.M.D.
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 P. Shannon D.M.D., P.C.'s NPI number?

The NPI number for Timothy P. Shannon D.M.D., P.C. is 1982706677. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is also known as Johnson Creek Dental Care.

Where is Timothy P. Shannon D.M.D., P.C. located?

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

What is Timothy P. Shannon D.M.D., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy P. Shannon D.M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.