Organization · Type 2 NPI
Gary M Shellerud DDS
Periodontics · Spokane, WA
NPI number
1104372556
Active
Practice location
508 W 6th Ave Ste 208
Spokane, WA 99204-2730
Fax (509) 838-4618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5678 (WA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Spokane
About NPI 1104372556
Gary M Shellerud DDS's National Provider Identifier is 1104372556, issued on Aug 26, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Spokane, WA. The record was last updated on Aug 26, 2016.