Mark Alan Shaw is a Elmira Heights, New York based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mark Alan Shaw is
0453861 for General Practice Dentistry in New York. His current practice location is
2062 College Ave, Elmira Heights. Patients can reach him at
607-734-7787.
Mark Alan Shaw is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mark Alan Shaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mark Alan Shaw |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2062 College Ave, Elmira Heights,
New York, 14903-1651 |
| Phone: | 607-734-7787 |
| Fax: | 607-734-2496 |
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 are as mentioned below.
| NPI Number: | 1831202068 |
| NPI Enumeration Date: | 15 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Alan Shaw are as mentioned below.
| License Number | Specialization | State | Status | |
| 0453861 | General Practice Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Alan Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02241734 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2062 College Ave,
Elmira Heights, New York |
| Zip: | 14903-1651 |
| Phone Number: | 607-734-7787 |
| Fax Number: | 607-734-2496 |
Patients can reach Mark Alan Shaw at
2062 College Ave, Elmira Heights, New York or can
call to book an appointment on 607-734-7787.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.