Individual provider · Type 1 NPI
John R. Shaw, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Central Square, NY
Practice location
537 S Main St
Central Square, NY 13036-3500
Fax (315) 676-3785
Mailing address
36 Alden Ave
Auburn, NY 13021-4322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 035014 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1073676953
John R. Shaw, DMD's National Provider Identifier is 1073676953, issued on Dec 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Central Square, NY. The record was last updated on Jul 8, 2007.