Rachelle L Shaw in Albuquerque - Pediatric Dentistry

Rachelle L Shaw - NPI 1518022862

Rachelle L Shaw is a Pediatric Dentistry in Albuquerque, New Mexico. Rachelle L Shaw practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Rachelle L Shaw is 1518022862. The last update date is 2007-07-08.

Rachelle L Shaw's current location address is 4620 Jefferson Lane, Albuquerque, New Mexico. You can contact this provider via phone number 5058883520 and fax number 5058886553. The mailing address for Rachelle L Shaw is 4620 Jefferson Lane, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Rachelle L Shaw
Address 4620 Jefferson Lane, Albuquerque, New Mexico
Phone Number 5058883520
Fax Number 5058886553
Sole Proprietor N
Credentials DDS PC

NPI Number Detail

NPI Number 1518022862
Provider Enumeration Date 2006-12-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4620 Jefferson Lane
City Albuquerque
State New Mexico (NM)
Post Code 87109
Phone Number 5058883520
Fax Number 5058886553

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 1453
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Rachelle L Shaw

What is the unique identifier code issued to Rachelle L Shaw by the Centers for Medicare & Medicaid Services (CMS)?

The Rachelle L Shaw has been assigned the NPI (National Provider Identifier) 1518022862. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Rachelle L Shaw is physically located?

The Rachelle L Shaw is situated at the following address: 4620 Jefferson Lane, Albuquerque, NM 87109.

What is Rachelle L Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?

The Rachelle L Shaw's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518022862 to Rachelle L Shaw?

The Centers for Medicare & Medicaid Services assigned the 1518022862 to Rachelle L Shaw on 2006-12-27.

As of what date were the details related to Rachelle L Shaw most recently updated or revised?

The information pertaining to Rachelle L Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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