Johnson Creek Dental Care

LBN: Timothy P. Shannon D.M.D., P.C.
Johnson Creek Dental Care is an health care organization with primary practice located at 4450 Se Johnson Creek Blvd , Milwaukie OR 97222-9217. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Timothy P. Shannon D.M.D., P.C. can be contacted via phone (503) 654-7773, or through Shannon, Timothy Patrick via phone (503) 654-7773.

Contact Information

Primary practice address
4450 Se Johnson Creek Blvd Milwaukie OR 97222-9217
Phone: (503) 654-7773
Fax: (503) 654-7774
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Timothy Patrick Doctor of Dental Medicine (DMD)
Phone: (503) 654-7773

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6975 Oregon

Profile Details

NPI number 1982706677
LBN Legal business name Timothy P. Shannon D.M.D., P.C.
DBA Doing business as Johnson Creek Dental Care
Authorized official Shannon, Timothy Patrick Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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