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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: July 19, 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

What is Gary Shellerud's NPI number?

The NPI number assigned to this healthcare provider is 1124163068, enumerated as an "individual" on February 20, 2007.

Where is the provider located?

The provider is located at 508 W 6TH AVE STE 208 SPOKANE, WA 99204 and the phone number is (509) 838-4321.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

What insurance does Gary Shellerud accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.