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

Timothy Patrick Shannon, DMD

Individual provider General Practice Dentistry · NPI 1770641128

Timothy Patrick Shannon, DMD is a General Practice Dentistry in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4450 SE Johnson Creek Blvd
Milwaukie, OR 97222-9217
Phone: (503) 654-7773
Fax: (503) 654-7774
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D6975 (OR)

Record details

NPI number1770641128
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7524 Se 31st Ave, Portland, OR 97202-8533

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