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

Dr. Shane Mark Douglas, DDS

Individual provider Dentist · NPI 1902169774

Dr. Shane Mark Douglas, DDS is a Dentist in Rocklin, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3700 Atherton Rd
Rocklin, CA 95765-3717
Phone: (916) 626-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61439 (CA)

Record details

NPI number1902169774
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESDecember 2, 2013
Mailing address3700 Atherton Rd, Rocklin, CA 95765-3717

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