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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY MICHAEL SHELLERUD, DDS, PERIODONTIST

Active Sole Proprietor

DR. GARY MICHAEL SHELLERUD, DDS, PERIODONTIST is a Periodontology healthcare provider located in SPOKANE, Washington. NPI 1124163068 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SPOKANE, WA

Registration Details

NPI Number
1124163068
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2007 (19.438652316189 yrs)
Last Updated
Jul 8, 2007
License
00005678 (WA)
Sole Proprietor
Yes

Practice Information

Address
508 W 6TH AVE STE 208
SPOKANE, WA, 992042730
Browse WA providers · Browse ZIP 99204
Phone
5098384321
Fax
5098384618
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in SPOKANE, WA

Name Credential NPI
DR. ANTHONY G GIARDINO D.D.S., M.S. 1336235472
DR. STEVEN D AESCHLIMAN D.D.S. 1538256854
DR. DAVID WAYNE ENGEN DDS, MSD 1659596948
DR. DOUGLAS GREGG RUNDLE D.M.D., M.P.H., M.S. 1609212687
ANDREA PIZZINI DDS 1831708833
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.