Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043878358 Individual Practitioner Female Practitioner

Dr. Shannan Jesse Walker , DDS

Dentist • Great Lakes, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Shannan Walker, DDS is a registered healthcare professional specializing in Dentist in Great Lakes, IL. Official NPI practice address is registered at 2410 SAMPSON ST.

Practice Location & Contact Primary Location

Practice Address

2410 Sampson St

Great Lakes, IL 600882942

Telephone 8476883331
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Great Lakes, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Great Lakes, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO DEN.00204008

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. James Conway , DDS, MSD

Dentist - Periodontics

NPI 1003966904

Doctor of Dental Surgery, MSD

Dr. Christopher Verzosa , DDS

Dentist - General Practice

NPI 1164654364

Doctor of Dental Surgery

NPI 1174049704

Doctor of Dental Surgery

Dr. Charles Paddock , DDS

Dentist - General Practice

NPI 1285604009

Doctor of Dental Surgery

Michelle Klupp , RDH

Dental Hygienist

NPI 1386414068

Registered Dental Hygienist

NPI 1396996823

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2019

Registered at 2410 SAMPSON ST, GREAT LAKES, IL 600882942 (Tel: 8476883331)

📍
Updated Business Mailing Address May 31, 2019

Registered at 625 SCRUB OAK RD, MANITOU SPRINGS, CO 808292543 (Tel: 6073723186)

👤
Provider Name / Credentials Updated May 31, 2019

Recorded as SHANNAN WALKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Dentist (License #DEN.00204008 in CO)

🟢
Initial NPI Registration & Enumeration May 31, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043878358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2019
Last Update: May 31, 2019
Sole Proprietor: Yes

Mailing Address

625 Scrub Oak Rd

Manitou Springs, CO 808292543

Phone: 6073723186

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.