Dr. 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 Dr. Shannon Kelly Blair is
DD22013 for General Practice Dentistry in New Mexico. Her current practice location is
201 K-2 Buffalo Trail, Penasco. Patients can reach her at
575-251-8010.
Dr. 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:
Dr. 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: | Dr. Shannon Kelly Blair |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 201 K-2 Buffalo Trail, Penasco,
New Mexico, 87553 |
| Phone: | 575-251-8010 |
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: | 03 Feb, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannon Kelly Blair are as mentioned below.
| License Number | Specialization | State | Status | |
| DD22013 | General Practice Dentistry | New Mexico | Primary | |
| DDS106783 | General Practice Dentistry | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 127,
Penasco, New Mexico |
| Zip: | 87553-0127 |
| Phone Number: | 575-251-8010 |
Patients can reach Dr. Shannon Kelly Blair at
201 K-2 Buffalo Trail, Penasco, New Mexico or can
call to book an appointment on 575-251-8010.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.