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Contact Information

SHANNON K BLAIR, DDS
201 K-2 BUFFALO TRAIL
PEÑASCO, NM87553
 Phone: 575-251-8010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SHANNON K BLAIR · (Female)

NPI # 1841823143
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/15/2020
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CA License # DDS106783
  • NM License # DD22013
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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