Judith Victoria Shaw in South San Francisco - Dentist
Judith Victoria Shaw - NPI 1790966141
Judith Victoria Shaw is a Dentist in South San Francisco, California. Judith Victoria Shaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Judith Victoria Shaw is 1790966141. The last update date is 2007-11-14.
Judith Victoria Shaw's current location address is 663 El Camino Real, South San Francisco, California. You can contact this provider via phone number 6509529541 and fax number 6509529623. The mailing address for Judith Victoria Shaw is 663 El Camino Real, South San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Victoria Shaw |
|---|---|
| Address | 663 El Camino Real, South San Francisco, California |
| Phone Number | 6509529541 |
| Fax Number | 6509529623 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790966141 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 663 El Camino Real |
|---|---|
| City | South San Francisco |
| State | California (CA) |
| Post Code | 940804404 |
| Phone Number | 6509529541 |
| Fax Number | 6509529623 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36621 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Judith Victoria Shaw by the Centers for Medicare & Medicaid Services?
The Judith Victoria Shaw has been issued the NPI (National Provider Identifier) 1790966141. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Judith Victoria Shaw?
The Judith Victoria Shaw is situated at 663 El Camino Real, in the city of South San Francisco, state of CA, with the zip code 940804404.
What is the Judith Victoria Shaw's area of specialization and corresponding taxonomy classification?
The Judith Victoria Shaw's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790966141 to Judith Victoria Shaw?
The Centers for Medicare & Medicaid Services originally issued the 1790966141 to Judith Victoria Shaw on 2007-11-14.
As of what date were the Judith Victoria Shaw's details last updated?
The information pertaining to the Judith Victoria Shaw, including its address, specialty, and other details, was most recently updated on 2007-11-14.
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