Jerry L. Shaw, D.d.s. is a Orthodontics and Dentofacial Clinic in Farr West, Utah. It is located at 1761 N. 2000 W., Farr West, UT and its contact number is 801-731-4850. The authorized person for Jerry L. Shaw, D.d.s. is Dr. Jerry L. Shaw
who is Owner of the clinic and their contact number is 801-731-4850. The primary license number for Jerry L. Shaw, D.d.s. is 132357 (Orthodontics and Dentofacial Orthopedics) in Utah. Jerry L. Shaw, D.d.s. Clinic is 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Jerry L. Shaw, D.d.s. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jerry L. Shaw, D.d.s.
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
1761 N. 2000 W., Farr West, Utah, 84404-9541
Phone:
801-731-4850
Fax:
801-731-4852
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:
Dr. Jerry L. Shaw
Position:
Owner
Contact Number:
801-731-4850
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 Jerry L. Shaw, D.d.s. clinic are as mentioned below.
NPI Number:
1205111432
NPI Enumeration Date:
19 Oct, 2011
NPI Last Update On:
19 Oct, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry L. Shaw, D.d.s. are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
132357
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
529447754018
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jerry L. Shaw, D.d.s. 1761 N. 2000 W., Farr West, Utah
Zip:
84404-9541
Phone Number:
801-731-4850
Fax Number:
801-731-4852
Patients can reach Jerry L. Shaw, D.d.s. at 1761 N. 2000 W., Farr West, Utah or can call to book an appointment on 801-731-4850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.