Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Wilson DDS Ps

Organization Dental Clinic/Center · NPI 1710794979

Shannon Wilson DDS Ps is a Dental Clinic/Center in Seattle, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11730 15th Ave NE
Seattle, WA 98125-5026
Phone: (206) 920-5430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1710794979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Wilson — Owner · (206) 920-5430
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address18529 Linden Ave N, Shoreline, WA 98133-3926

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