MEDICARE: DR. SHANNON I MAGNUSON D.D.S., M.S.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	7628	WA

General Provider Information

NPI Number	:	1508183450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANNON I MAGNUSON D.D.S., M.S.D.

Provider Business Mailing Address
First Line	:	10121 N NEVADA ST
Second Line	:	SUITE 201
City	:	SPOKANE
State	:	WA
Zip	:	99218-3120
Country	:	US
Telephone Number	:	509-443-5597
Fax Number	:	509-863-9701

Provider Business Practice Location Address
First Line	:	10121 N NEVADA ST
Second Line	:	SUITE 201
City	:	SPOKANE
State	:	WA
Zip	:	99218-3120
Country	:	US
Telephone Number	:	509-443-5597
Fax Number	:	509-863-9701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2010
Last Update Date	:	12/29/2011

Similar Medicare Providers

1255270344 — ROBB B HEINRICH DDS.,PLLC
Practice Location Address:

10121 N NEVADA ST STE 302
SPOKANE, WA
99218-3120

Practice Phone: 509-467-1117
Practice Fax: 509-467-1116

1518949387 — DR. BRENT LYNN CHILD D.D.S.
Practice Location Address:

10121 N NEVADA ST , SUITE 101
SPOKANE, WA
99218-3120

Practice Phone: 509-468-1685
Practice Fax: 509-468-8318

1306880646 — BRUCE B. HARSHA, DDS, PS
Practice Location Address:

10121 N NEVADA ST , SUITE 101
SPOKANE, WA
99218-3120

Practice Phone: 509-468-1685
Practice Fax: 509-468-8318

1124111679 — ROBERT BRIAN HEINRICH DDS
Practice Location Address:

10121 N NEVADA ST STE 302
SPOKANE, WA
99218-3120

Practice Phone: 506-467-1117
Practice Fax: 506-467-1116

1619178522 — DR. JAMES PAUL DOROSH D.D.S.
Practice Location Address:

10121 N NEVADA ST , STE. 301
SPOKANE, WA
99218-3120

Practice Phone: 509-467-1000
Practice Fax: 509-467-1001

1538315296 — DOUGLAS G. RUNDLE, D.M.D, P.C
Practice Location Address:

10121 N NEVADA ST , SUITE 102
SPOKANE, WA
99218-3120

Practice Phone: 509-467-7181
Practice Fax: 509-464-0953

Directions to “ DR. SHANNON I MAGNUSON D.D.S., M.S.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.