Individual provider · Type 1 NPI

Jerry L. Shaw, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Farr West, UT

NPI number 1508877515 Active

Practice location

1761 N 2000 W
Farr West, UT 84404

Call (801) 731-4850 Map

Fax (801) 731-4852

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X132357 (UT)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X132357 (UT)

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 1508877515

Jerry L. Shaw, DDS's National Provider Identifier is 1508877515, issued on Aug 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Farr West, UT. The record was last updated on Sep 11, 2025.