Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISAN SHAW, D.D.S.
Active Sole ProprietorDR. KRISAN SHAW, D.D.S. is a General Dentistry healthcare provider located in ELLSWORTH, Wisconsin. NPI 1730219239 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELLSWORTH, WI
Registration Details
- NPI Number
- 1730219239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2007 (19.457673998084 yrs)
- Last Updated
- Mar 18, 2014
- License
-
5175-015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 W. LUCAS LANEELLSWORTH, WI, 54011Browse WI providers · Browse ZIP 54011
- Phone
- 7152733700
- Fax
- 7152731700
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ELLSWORTH, WI
| Name | Credential | NPI |
|---|---|---|
| DR. BARBARA E TASHJIAN | DDS | 1184797714 |
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.