Family Dental Care, Chad Shaw D.d.s.,p.c.

NPI 1104950492 - Dentist - 1223G0001X

NPI Details
NPI 1104950492
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHAD J. CHAD
Position PRESIDENT
Phone (574) 936-8787
Fax
Practice Location
1409 N MICHIGAN ST
PLYMOUTH IN, 46563-1119, US
Phone (574) 936-8787
Fax
Business Location
1409 N MICHIGAN ST
PLYMOUTH IN, 46563-1119, US
Phone (574) 936-8787
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12010465A
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According to our database, Family Dental Care, Chad Shaw D.d.s.,p.c. NPI is 1104950492, taxonomy code is 1223G0001X and license number is 12010465A, license state is located at Indiana. Family Dental Care, Chad Shaw D.d.s.,p.c. physically located at 1409 N Michigan St, Plymouth IN, 46563-1119. NPI Number 1033115704 has the healthcare provider type.

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1104950492 NPI number is provided on an as is basis without warranty of any kind. 1104950492 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Care, Chad Shaw D.d.s.,p.c. are for informational purposes only.