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

Timothy P. Shannon DMD, PC

Organization General Practice Dentistry · NPI 1982706677

Timothy P. Shannon DMD, PC is a General Practice Dentistry in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4450 SE Johnson Creek Blvd
Milwaukie, OR 97222-9217
Phone: (503) 654-7773
Fax: (503) 654-7774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6975 (OR)

Record details

NPI number1982706677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Shannon — President · (503) 654-7773
Other names Johnson Creek Dental Care
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4450 Se Johnson Creek Blvd, Milwaukie, OR 97222-9217

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