Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609564103 Individual Practitioner Female Practitioner

Dr. Shannon Murphy Thibodeau , DDS

Dentist • Wilsonville, OR

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Thibodeau, DDS is a registered healthcare professional specializing in Dentist in Wilsonville, OR. Practice services are available at 29292 SW TOWN CENTER LOOP E STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29292 Sw Town Center Loop E Ste A

Wilsonville, OR 970709491

Telephone 5036820431
Associated Practice Facility / Clinic
🏢 Wilsonville Dental Group Pc Facility NPI 1679621080

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wilsonville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Wilsonville, OR (1289 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

CMS Verified: 2025-08-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D11973

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

3 Associated Practitioners
NPI 1083349583

Doctor of Dental Surgery

Dr. John Bullock , DMD

Dentist - General Practice

NPI 1083866248

Doctor of Dental Medicine

Dr. Terrence Clark , DMD

Dentist - General Practice

NPI 1407008568

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 25, 2025

Registered at 29292 SW TOWN CENTER LOOP E STE A, WILSONVILLE, OR 970709491 (Tel: 5036820431)

📍
Updated Business Mailing Address August 25, 2025

Registered at 29292 SW TOWN CENTER LOOP E STE A, WILSONVILLE, OR 970709491 (Tel: 5036820431)

👤
Provider Name / Credentials Updated August 25, 2025

Recorded as SHANNON THIBODEAU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Dentist (License #D11973 in OR)

NPI Profile Active April 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2023

Registered at 3710 SW US VETRN HOSP RD, PORTLAND, OR 972392964 (Tel: 5032208262)

📍
Updated Business Mailing Address April 24, 2023

Registered at 2505 GLEN EAGLES RD, LAKE OSWEGO, OR 970342700 (Tel: 4086879761)

👤
Provider Name / Credentials Updated April 24, 2023

Recorded as SHANNON WALKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2023

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: 1609564103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

29292 Sw Town Center Loop E Ste A

Wilsonville, OR 970709491

Phone: 5036820431

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.