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Gary M Shellerud Dds
Periodontist in Spokane, Washington
NPI 1104372556

Gary M Shellerud Dds is a Periodontist based in Spokane, WA and is specialized in Periodontics. Gary M Shellerud Dds practices in Spokane, WA. The NPI Number for Gary M Shellerud Dds is 1104372556 and holds a License No. 5678 (Washington).

The current practice location address for Gary M Shellerud Dds is 508 W 6Th Ave Ste 208, Spokane, WA and can be reached out via phone at 509-838-4321 and via fax at 509-838-4618.

Location: 508 W 6Th Ave Ste 208, Spokane, WA, 99204-2730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104372556
Provider Name
Gary M Shellerud Dds
Credential
Provider Entity Type
Organization
Address
508 W 6Th Ave Ste 208, Spokane, WA, 99204-2730
Phone Number
509-838-4321
Fax Number
509-838-4618
Provider Enumeration Date
08/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124163068 01 NPI
institution
Provider Business Practice Location Address Details
Address
508 W 6Th Ave Ste 208
City
Spokane
State
Washington
Zip
99204-2730
Phone Number
509-838-4321
Fax Number
509-838-4618
person
Provider Business Mailing Address Details
Address
508 W 6Th Ave Ste 208
City
Spokane
State
Washington
Zip
99204-2730
Phone Number
509-838-4321
Fax Number
509-838-4618
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5678 (Washington)
Definition
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.
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