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

Individual provider Dentist · NPI 1174530836

Dr. Shannon Scott Obernuefemann, DDS is a Dentist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
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

777 W Bethany Home Rd
Phoenix, AZ 85013-1651
Phone: (602) 242-1729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D5408 (AZ)

Record details

NPI number1174530836
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESSeptember 6, 2012

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