Jerry L Shaw in Farr West - Orthodontics And Dentofacial Orthopedics
Jerry L Shaw - NPI 1508877515
Jerry L Shaw is a Orthodontics And Dentofacial Orthopedics in Farr West, Utah. Jerry L Shaw practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerry L Shaw is 1508877515. The last update date is 2007-07-08.
Jerry L Shaw's current location address is 1761 N 2000 W, Farr West, Utah. You can contact this provider via phone number 8017314850 and fax number 8017314852. The mailing address for Jerry L Shaw is 1761 N 2000 W, Farr West, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry L Shaw |
|---|---|
| Address | 1761 N 2000 W, Farr West, Utah |
| Phone Number | 8017314850 |
| Fax Number | 8017314852 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508877515 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1761 N 2000 W |
|---|---|
| City | Farr West |
| State | Utah (UT) |
| Post Code | 84404 |
| Phone Number | 8017314850 |
| Fax Number | 8017314852 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 132357 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Jerry L Shaw's 1508877515?
The Jerry L Shaw's NPI (National Provider Identifier) Number is 1508877515. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry L Shaw?
The Jerry L Shaw is situated at 1761 N 2000 W, in the city of Farr West, state of UT, with the zip code 84404.
What is Jerry L Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry L Shaw's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
When did Jerry L Shaw receive its 1508877515 assignment?
The Jerry L Shaw was assigned its 1508877515 on 2006-08-11, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jerry L Shaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry L Shaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA