Gary R Shaw is a Dentist in University Place, Washington. Gary R Shaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary R Shaw is 1154587087. The last update date is 2008-07-30.
Gary R Shaw's current location address is 4103 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2535654474 and fax number 2535656848. The mailing address for Gary R Shaw is 4103 Bridgeport Way W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary R Shaw |
|---|---|
| Address | 4103 Bridgeport Way W, University Place, Washington |
| Phone Number | 2535654474 |
| Fax Number | 2535656848 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154587087 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 4103 Bridgeport Way W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 984664300 |
| Phone Number | 2535654474 |
| Fax Number | 2535656848 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE 00006436 |
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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 provider identifier assigned to Gary R Shaw?
The Gary R Shaw has been issued the NPI (National Provider Identifier) 1154587087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gary R Shaw?
The Gary R Shaw is situated at 4103 Bridgeport Way W, in the city of University Place, state of WA, with the zip code 984664300.
What is the Gary R Shaw's area of specialization and corresponding taxonomy classification?
The Gary R 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 1154587087 to Gary R Shaw?
The Centers for Medicare & Medicaid Services originally issued the 1154587087 to Gary R Shaw on 2008-07-30.
When was the information regarding Gary R Shaw most recently updated?
The details pertaining to the Gary R Shaw, including its address, specialty, and other relevant information, were last refreshed on 2008-07-30.
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