DR. BROCK SHAW DDS
NPI 1033729991
Dentist in Apo, AP

Active since August 05, 2020
18 MDG, UNIT 5142, APO, AP 96368(315) 630-4902 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2024, Jul 28, 2023, Aug 5, 2020 (3 updates tracked since 2020).

About Dr. Brock Shaw Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BROCK SHAW DDS (NPI 1033729991) is an individual dentist in Apo, AP, licensed in Utah (11826346) and active in the NPI registry since August 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033729991
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BROCK SHAWCredential: DDS
Location Address18 MDG, UNIT 5142Apo, AP 96368-5142
Mailing Address18 Mdg, Unit 5142Apo, AP 96368-5142 · (315) 630-4506
Sole ProprietorYes
Enumeration DateAugust 5, 2020
Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1033729991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in UT · 11826346
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations 2

Location 1280 1st St Bldg 23Holloman AFB, NM 88330-8273 · Phone (575) 572-3742
Location 24700 Las Vegas Blvd NNellis AFB, NV 89191-6600 · Phone (702) 653-2600

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Prosthodontics)
18 MDG, UNIT 5142
APO, AP 96368
Social Worker (Clinical)
18 MDG, UNIT 5142
APO, AP 96368
Physical Therapist
18 MDG, UNIT 5142
APO, AP 96368
Student in an Organized Health Care Education/Training Program
18 MDG, UNIT 5142
APO, AP 96368
Student in an Organized Health Care Education/Training Program
18 MDG, UNIT 5142
APO, AP 96368
Nurse Practitioner
18 MDG, UNIT 5142
APO, AP 96368
Physical Therapist
18 MDG, UNIT 5142
APO, AP 96368
Social Worker (Clinical)
18 MDG, UNIT 5142
APO, AP 96368
Dentist (Periodontics)
18 MDG, UNIT 5142 (APO), KADENA AB, OKINAWA
APO, AP 96368
Nurse Practitioner (Family)
18 MDG, UNIT 5142
APO, AP 96368
Nurse Practitioner (Family)
18 MDG, UNIT 5142
APO, AP 96368
Social Worker (Clinical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Nurse Practitioner
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Physician Assistant (Medical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Psychiatry & Neurology (Psychiatry)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Psychologist (Clinical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Family Medicine
18 MDG, UNIT 5268
APO, AP 96368
Dentist
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Social Worker (Clinical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
Social Worker (Clinical)
18 MDG, UNIT 5268
APO, AP 96368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033729991, enumerated as an "individual" on August 05, 2020.

The provider is located at 18 MDG UNIT 5142 APO, AP 96368 and the phone number is (315) 630-4902.

Dentist with taxonomy code 122300000X.