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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: August 09, 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
Phone(315) 630-4902
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 NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ALLEN YPINA JR.
Military Health Care Provider (Independent Duty Medical Technicians)
18 MDG, UNIT 5142
APO, AP 96368
(098) 960-4817
DEJANET BAILEY FNP-C
Nurse Practitioner (Family)
18 MDG, UNIT 5142
APO, AP 96368
(098) 938-1111
BIRNETTIAH KILLENS
Social Worker (Clinical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
(315) 643-6164
DR. ALEXANDRIA BRENNAN DO
Pediatrics
18 MDG, UNIT 5142
APO, AP 96368
(098) 960-4817
KENT DO
Family Medicine
18 MDG, UNIT 5268
APO, AP 96368
(011) 819-8938
JAMES R JACOBSON
Physician Assistant (Medical)
18 MDG, OPC 80 BOX 5217
APO, AP 96368
(315) 630-4817
STEPHEN BERENYI
Physical Therapist
18 MDG, UNIT 5268
APO, AP 96368
(315) 630-4780
DR. BRADY HILDT PSY.D.
Psychologist (Clinical)
18 MDG, UNIT 5142
APO, AP 96368
(098) 960-4817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock Shaw's NPI number?

The NPI number for Brock Shaw is 1033729991. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Brock Shaw located?

Brock Shaw practices at 18 Mdg Unit 5142, Apo, AP 96368. The listed phone number is (315) 630-4902.

What is Brock Shaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Brock Shaw was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.