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

Mary Vivianne Shannon, DDS

Individual provider Pediatric Dentistry · NPI 1760528525

Mary Vivianne Shannon, DDS is a Pediatric Dentistry in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

11980 San Vicente Blvd Ste 906
Los Angeles, CA 90049-6607
Phone: (310) 998-8999
Fax: (310) 998-8999
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 48769 (CA)

Record details

NPI number1760528525
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESSeptember 26, 2012

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