Jerry L. Shaw, D.D.S.
LBN: Jerry L. Shaw, D.D.S.
Jerry L. Shaw, D.D.S. is an health care organization with primary practice located at 1761 N. 2000 W. , Farr West UT 84404-9541. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty.
Jerry L. Shaw, D.D.S. can be contacted via phone (801) 731-4850, or through Shaw, Jerry L. via phone (801) 731-4850.
Contact Information
Primary practice address
1761 N. 2000 W.
Farr West UT 84404-9541
Phone: (801) 731-4850
Fax: (801) 731-4852
Website:
Authorized official contact:
Name: Shaw, Jerry L. Doctor of Dental Surgery (DDS)
Phone: (801) 731-4850
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 132357 | Utah |
Profile Details
NPI number | 1205111432 |
---|---|
LBN Legal business name | Jerry L. Shaw, D.D.S. |
DBA Doing business as | |
Authorized official | Shaw, Jerry L. Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 19th, 2011 |
Last updated | Oct 19th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205111432 | NPPES |
Utah | MEDICAID | 529447754018 |
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