Shannon Kelly Blair

DDS | Dentist



  
  15136 Nm-75, Penasco
  New Mexico, 87553

  575-587-2205    Maps & Directions
Shannon Kelly Blair is a Penasco, New Mexico based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Shannon Kelly Blair is DD22013 for General Practice Dentistry in New Mexico. Her current practice location is 15136 Nm-75, Penasco. Patients can reach her at 575-587-2205.
Shannon Kelly Blair is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Shannon Kelly Blair speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Shannon Kelly Blair
Specialization: Dentist
Gender:Female
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:15136 Nm-75, Penasco,
New Mexico, 87553
Phone:575-587-2205
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1841823143
NPI Enumeration Date: 15 Feb, 2020
NPI Last Update On: 15 Mar, 2024

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Kelly Blair are as mentioned below.
License NumberSpecializationStateStatus
DD22013General Practice Dentistry New MexicoPrimary
DDS106783General Practice Dentistry CaliforniaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 158,
Espanola, New Mexico
Zip: 87532-0158
Phone Number: 575-587-2205
Patients can reach Shannon Kelly Blair at 15136 Nm-75, Penasco, New Mexico or can call to book an appointment on 575-587-2205. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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