GARY M SHELLERUD DDS
NPI 1104372556
Dentist - Periodontics in Spokane, WA

Q: What is Gary M Shellerud Dds's NPI number?

The NPI number for Gary M Shellerud Dds is 1104372556. It was assigned to this organization in the NPPES registry on August 26, 2016.

Q: What is Gary M Shellerud Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since August 26, 2016

508 W 6TH AVE STE 208, SPOKANE, WA 99204(509) 838-4321(509) 838-4618 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary M Shellerud Dds NPPES

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

GARY M SHELLERUD DDS (NPI 1104372556) is a healthcare organization registered as a periodontics in Spokane, Washington and active in the NPI registry since August 2016. The organization lists Gary M Shellerud, Owner, as its authorized official.

NPPES Registry Identity

NPI1104372556

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameGARY M SHELLERUD DDS

Location Address508 W 6TH AVE STE 208Spokane, WA 99204-2730

Mailing Address508 W 6th Ave Ste 208Spokane, WA 99204-2730 · (509) 838-4321 · Fax (509) 838-4618

Phone(509) 838-4321

Fax(509) 838-4618

Organization SubpartNo

Authorized OfficialGary M ShellerudOwner · (509) 838-4321

Enumeration DateAugust 26, 2016

✔ NPI 1104372556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WA · 5678

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

508 W 6TH AVE STE 208, Spokane, WA 99204

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Other Identifiers 1

Other1124163068Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GARY MICHAEL SHELLERUD DDS, PERIODONTIST

Dentist (Periodontics)

508 W 6TH AVE STE 208
SPOKANE, WA 99204

Spokane County (509) 838-4321

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 Gary M Shellerud Dds's NPI number?

The NPI number for Gary M Shellerud Dds is 1104372556. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Gary M Shellerud Dds located?

Gary M Shellerud Dds is located at 508 W 6th Ave Ste 208, Spokane, WA 99204. The listed phone number is (509) 838-4321.

What is Gary M Shellerud Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Gary M Shellerud Dds was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.