DR. Jerry L Shaw, DDS

NPI #1508877515 in Farr West, Utah

Provider Information

NPI Number
1508877515
Entity Type
Individual
Name
DR. Jerry L Shaw, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS
Enumeration Date
Aug 11, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1761 N 2000 W
State
Utah
ZIP Code
84404
Phone
(801) 731-4850

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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Organizations

Provider Name
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