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DR. GARY MICHAEL SHELLERUD DDS, PERIODONTIST
NPI 1124163068
Dentist - Periodontics in Spokane, WA

Active since February 20, 2007
508 W 6TH AVE STE 208, SPOKANE, WA 99204(509) 838-4321(509) 838-4618 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gary Michael Shellerud Dds, Periodontist NPPES

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

DR. GARY MICHAEL SHELLERUD DDS, PERIODONTIST (NPI 1124163068) is an individual periodontics provider in Spokane, Washington, licensed in Washington (00005678) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124163068
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. GARY MICHAEL SHELLERUDCredential: DDS, PERIODONTIST
Location Address508 W 6TH AVE STE 208Spokane, WA 99204-2730
Mailing Address4309 E Silver Spur LnSpokane, WA 99217-9321 · (509) 467-2407
Phone(509) 838-4321
Fax(509) 838-4618
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124163068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · 00005678
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

GARY M SHELLERUD DDS
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 Shellerud's NPI number?

The NPI number for Gary Shellerud is 1124163068. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Gary Shellerud located?

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

What is Gary Shellerud's specialty?

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

What insurance does Gary Shellerud accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gary Shellerud as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Shellerud was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.