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Mark Alan Shaw, DDS
General Practice Dentistry in Elmira Heights, New York
NPI 1831202068

Mark Alan Shaw is a General Practice Dentistry based in Elmira Heights, NY and is specialized in General Practice. Mark Alan Shaw practices in Elmira Heights, NY and has the professional credentials of DDS. The NPI Number for Mark Alan Shaw is 1831202068 and holds a License No. 0453861 (New York).

The current practice location address for Mark Alan Shaw is 2062 College Ave, Elmira Heights, NY and can be reached out via phone at 607-734-7787 and via fax at 607-734-2496.

Location: 2062 College Ave, Elmira Heights, NY, 14903-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831202068
Provider Name
Mark Alan Shaw
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2062 College Ave, Elmira Heights, NY, 14903-1651
Phone Number
607-734-7787
Fax Number
607-734-2496
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02241734 05 NY
institution
Provider Business Practice Location Address Details
Address
2062 College Ave
City
Elmira Heights
State
New York
Zip
14903-1651
Phone Number
607-734-7787
Fax Number
607-734-2496
person
Provider Business Mailing Address Details
Address
2062 College Ave
City
Elmira Heights
State
New York
Zip
14903-1651
Phone Number
607-734-7787
Fax Number
607-734-2496
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0453861 (New York)
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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