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

Individual provider Dentist · NPI 1548416365

Shannon R Olson, DDS is a Dentist in Nipomo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

150 Tejas Pl
Nipomo, CA 93444-9123
Phone: (805) 929-3254
Fax: (805) 931-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 57163 (CA)

Record details

NPI number1548416365
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 12, 2008
Last updated in NPPESMarch 9, 2012
Mailing address150 Tejas Pl, Po Box 430, Nipomo, CA 93444-9123

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