Gary R Shaw Dds

Dental Clinic

 
4103 Bridgeport Way W, Suite A, University Place
    Washington, 98466

 253-565-4474    253-565-6848 Maps & Directions
Gary R Shaw Dds is a Dental Clinic in University Place, Washington. It is located at 4103 Bridgeport Way W, Suite A, University Place, WA and its contact number is 253-565-4474. The authorized person for Gary R Shaw Dds is Gary R Shaw who is Dentist Owner of the clinic and their contact number is 253-565-4474. The primary license number for Gary R Shaw Dds is DE00006436 (Dentist) in Washington.
Gary R Shaw Dds Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Gary R Shaw Dds Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Gary R Shaw Dds
Specialization: Dentistry
Clinic Address:4103 Bridgeport Way W, Suite A, University Place,
Washington, 98466
Phone:253-565-4474
Fax:253-565-6848
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Gary R Shaw
Position: Dentist Owner
Contact Number: 253-565-4474
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gary R Shaw Dds clinic are as mentioned below.
NPI Number: 1265535652
NPI Enumeration Date: 07 Sep, 2006
NPI Last Update On: 08 Oct, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary R Shaw Dds are as mentioned below.
SpecializationLicense NumberStateStatus
Dentist DE00006436WashingtonPrimary
Dentist 1431549922UtahSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
601484620OtherWashingtonWastemployment
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Gary R Shaw Dds
4103 Bridgeport Way W, Suite A
University Place, Washington
Zip: 98466
Phone Number: 253-565-4474
Fax Number: 253-565-6848
Patients can reach Gary R Shaw Dds at 4103 Bridgeport Way W, Suite A, University Place, Washington or can call to book an appointment on 253-565-4474. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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