person
Quentin Shaw, DDS
Pediatric Dentist in Casa Grande, Arizona
NPI 1891793519

Quentin Shaw is a Pediatric Dentist based in Casa Grande, AZ and is specialized in Pediatric Dentistry. Quentin Shaw practices in Casa Grande, AZ and has the professional credentials of DDS. The NPI Number for Quentin Shaw is 1891793519 and holds a License No. 4764 (Arizona).

The current practice location address for Quentin Shaw is 865 N Arizola Rd, Casa Grande, AZ and can be reached out via phone at 520-836-3446 and via fax at 520-836-8807. You can also correspond with Quentin Shaw through the mailing address at PO BOX 10097, CASA GRANDE, AZ - 85230-0097 (mailing address contact number: 520-836-3446).

Location: 865 N Arizola Rd, Casa Grande, AZ, 85230-0097
person
Provider Profile Details
NPI Number
1891793519
Provider Name
Quentin Shaw
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
865 N Arizola Rd, Casa Grande, AZ, 85230-0097
Phone Number
520-836-3446
Fax Number
520-836-8807
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4764 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
865 N Arizola Rd
City
State
Zip
85222-6011
Phone Number
520-836-3446
Fax Number
520-836-8807
person
Provider Business Mailing Address Details
Address
Po Box 10097
City
State
Zip
85230-0097
Phone Number
520-836-3446
Fax Number
520-836-8807
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4764 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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