Active NPI 1467542852 Individual Practitioner Male Practitioner

Dr. Michael E Shannon , DMD

Dentist - General Practice • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shannon, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kennewick, WA. Practice services are available at 800 N CENTER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 N Center Pkwy

Kennewick, WA 993367118

Telephone 5097830824

Fax 5097839136

Associated Practice Facility / Clinic

🏢 Michael E. Shannon, D.m.d., P.s.c. Facility NPI 1952856130

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kennewick, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

42 Specialists

Practicing in Kennewick, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00004797

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Dental License

DE00004797 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kathlyn Amos , DMD

Dentist - General Practice

NPI 1598912156

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 800 N CENTER PKWY, KENNEWICK, WA 993367118 (Tel: 5097830824)

📍

Updated Business Mailing Address July 08, 2007

Registered at 800 N CENTER PKWY, KENNEWICK, WA 993367118 (Tel: 5097830824)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SHANNON, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00004797 in WA)

🟢

Initial NPI Registration & Enumeration October 13, 2006

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: 1467542852

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 13, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 N Center Pkwy

Kennewick, WA 993367118

Phone: 5097830824

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.