Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALAN SHAW, DDS
Active Sole ProprietorMARK ALAN SHAW, DDS is a General Dentistry healthcare provider located in ELMIRA HEIGHTS, New York. NPI 1831202068 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELMIRA HEIGHTS, NY
Registration Details
- NPI Number
- 1831202068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.854811807177 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0453861 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2062 COLLEGE AVEELMIRA HEIGHTS, NY, 149031651Browse NY providers · Browse ZIP 14903
- Phone
- 6077347787
- Fax
- 6077342496
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ELMIRA HEIGHTS, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC L PETERSON | DDS | 1487091286 |
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.