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

Shannan Jesse Walker, DDS

Individual provider Dentist · NPI 1043878358

Shannan Jesse Walker, DDS is a Dentist in Great Lakes, Illinois. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
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

2410 Sampson St
Great Lakes, IL 60088-2942
Phone: (847) 688-3331
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00204008 (CO)

Record details

NPI number1043878358
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 31, 2019
Mailing address625 Scrub Oak Rd, Manitou Springs, CO 80829-2543

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