Shaw Family Dental SC
Shaw Family Dental SC provides General Practice Dentistry in Ellsworth, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
501 W Lucas LnEllsworth, WI 54011 Not confirmed with CMS for 12 years — call before visiting
Phone: (715) 273-3700
Fax: (715) 273-1700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5175-015 (WI) |
|---|
Record details
| NPI number | 1396162020 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Krisan Shaw — Owner · (715) 425-6081 |
| NPI enumerated | March 19, 2014 |
| Last updated in NPPES | March 19, 2014 |
| Mailing address | 501 W. Lucas Lane, Ellsworth, WI 54011 |
Other providers in Ellsworth
-
Dr. Barbara E Tashjian, DDS
412 W Kinne St, Ellsworth, WI 54011-0238 · (715) 273-6755