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

NPI #1104950492 in Plymouth, Indiana

Provider Information

NPI Number: 1104950492
Entity Type: Organization
Organization Name: Family Dental Care, Chad Shaw D.d.s.,p.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1409 N MICHIGAN ST
City: Plymouth
State: Indiana
ZIP Code: 46563-1119
Phone: (574) 936-8787

Authorized Official

Name: DR. CHAD J. SHAW, D.D.S.
Title: PRESIDENT
Phone: (574) 936-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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