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Dr. Krisan Shaw, DDS
General Practice Dentistry in Ellsworth, Wisconsin
NPI 1730219239

Krisan Shaw is a General Practice Dentistry based in Ellsworth, WI and is specialized in General Practice. Krisan Shaw practices in Ellsworth, WI and has the professional credentials of DDS. The NPI Number for Krisan Shaw is 1730219239 and holds a License No. 5175-015 (Wisconsin).

The current practice location address for Krisan Shaw is 501 W. Lucas Lane, Ellsworth, WI and can be reached out via phone at 715-273-3700 and via fax at 715-273-1700.

Location: 501 W. Lucas Lane, Ellsworth, WI, 54011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730219239
Provider Name
Krisan Shaw
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
501 W. Lucas Lane, Ellsworth, WI, 54011
Phone Number
715-273-3700
Fax Number
715-273-1700
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 W. Lucas Lane
City
Ellsworth
State
Wisconsin
Zip
54011
Phone Number
715-273-3700
Fax Number
715-273-1700
person
Provider Business Mailing Address Details
Address
501 W. Lucas Lane
City
Ellsworth
State
Wisconsin
Zip
54011
Phone Number
715-273-3700
Fax Number
715-273-1700
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5175-015 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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