Gary M Shellerud Dds

LBN: Gary M Shellerud Dds
Gary M Shellerud Dds is an health care organization with primary practice located at 508 W 6Th Ave Ste 208 , Spokane WA 99204-2730. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Gary M Shellerud Dds can be contacted via phone (509) 838-4321, or through Shellerud, Gary M via phone (509) 838-4321.

Contact Information

Primary practice address
508 W 6Th Ave Ste 208 Spokane WA 99204-2730
Phone: (509) 838-4321
Fax: (509) 838-4618
Website:
Map and Directions
Authorized official contact:
Name: Shellerud, Gary M Doctor of Dental Surgery (DDS)
Phone: (509) 838-4321

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5678 Washington

Profile Details

NPI number 1104372556
LBN Legal business name Gary M Shellerud Dds
DBA Doing business as
Authorized official Shellerud, Gary M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104372556 NPPES
Other 1124163068 NPI

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