Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON KELLY BLAIR, DDS
ActiveDR. SHANNON KELLY BLAIR, DDS is a General Dentistry healthcare provider located in PENASCO, New Mexico. NPI 1841823143 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PENASCO, NM
Registration Details
- NPI Number
- 1841823143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2020 (6.3497612300176 yrs)
- Last Updated
- Feb 3, 2026
- Licenses
-
DDS106783 (CA)DD22013 (NM)
Practice Information
- Address
-
201 K-2 BUFFALO TRAILPENASCO, NM, 87553Browse NM providers · Browse ZIP 87553
- Phone
- 5752518010
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in PENASCO, NM
| Name | Credential | NPI |
|---|---|---|
| ERIK ALEXANDER WATSON | DDS | 1972782472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.