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

Individual provider Dentist · NPI 1427162544

Dr. Shannon Vickery, DMD is a Dentist in Louisville, Kentucky. Licensed in Alabama and Kentucky. Registered with an NPI since 2006.

Licensed in
AL, KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9706 Taylorsville Rd
Louisville, KY 40299-2753
Phone: (502) 267-0546
Fax: (502) 267-7306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9092 (KY)
Dentist Taxonomy 122300000X · Licence 5165 (AL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5165 (AL)

Record details

NPI number1427162544
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESMarch 22, 2016

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