Individual provider · Type 1 NPI
Gary Michael Shellerud, DDS, PERIODONTIST
Periodontics · Spokane, WA
NPI number
1124163068
Active
Practice location
508 W 6th Ave Ste 208
Spokane, WA 99204-2730
Fax (509) 838-4618
Mailing address
4309 E Silver Spur Ln
Spokane, WA 99217-9321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 00005678 (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
- Anthony G. Giardino, DDS, M.S.Periodontics Spokane, WA NPI 1336235472
- Steven D. Aeschliman, DDSPeriodontics Spokane, WA NPI 1538256854
- Douglas Gregg Rundle, DMD, M.P.H., M.S.Periodontics Spokane, WA NPI 1609212687
- David Wayne Engen, DDS, MSDPeriodontics Spokane, WA NPI 1659596948
- Andrea Pizzini, DDSPeriodontics Spokane, WA NPI 1831708833
About NPI 1124163068
Gary Michael Shellerud, DDS, PERIODONTIST's National Provider Identifier is 1124163068, issued on Feb 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Spokane, WA. The record was last updated on Jul 8, 2007.