Dr. Shannon Kelly Blair, DDS
Dr. Shannon Kelly Blair, DDS is a Dentist in Penasco, New Mexico. Graduated from Howard University College of Dentistry in 2020, 6 years ago. Licensed in California and New Mexico.
- Years since qualifying
- 6
- Trained at
- Howard University College of Dentistry
- Licensed in
- CA, NM
- In the registry since
- 2020
- Specialties on file
- 2
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.
Practice location Address checks out
201 K-2 Buffalo TrlPenasco, NM 87553
Phone: (575) 251-8010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DD22013 (NM) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence DDS106783 (CA) |
Record details
| NPI number | 1841823143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | February 15, 2020 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
Medicare enrollment
| Medicare specialty | DENTIST |
|---|---|
| Medical school | HOWARD UNIVERSITY COLLEGE OF DENTISTRY |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |