JERRY L. SHAW, D.D.S.
NPI 1205111432
Dentist - Orthodontics and Dentofacial Orthopedics in Farr West, UT

Active since October 19, 2011
1761 N. 2000 W., FARR WEST, UT 84404(801) 731-4850(801) 731-4852 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry L. Shaw, D.d.s. NPPES

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

JERRY L. SHAW, D.D.S. (NPI 1205111432) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Farr West, Utah and active in the NPI registry since October 2011. The organization lists Jerry L. Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1205111432
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameJERRY L. SHAW, D.D.S.
Location Address1761 N. 2000 W.Farr West, UT 84404-9541
Mailing Address1761 N. 2000 W.Farr West, UT 84404-9541 · (801) 731-4850 · Fax (801) 731-4852
Fax(801) 731-4852
Organization SubpartNo
Authorized OfficialJerry L. ShawOwner · (801) 731-4850
Enumeration DateOctober 19, 2011
NPI 1205111432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in UT · 132357
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1761 N. 2000 W., Farr West, UT 84404

Other Identifiers 1

Medicaid529447754018UT

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

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 Jerry L. Shaw, D.D.S.'s NPI number?

The NPI number for Jerry L. Shaw, D.D.S. is 1205111432. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Jerry L. Shaw, D.D.S. located?

Jerry L. Shaw, D.D.S. is located at 1761 N. 2000 W., Farr West, UT 84404. The listed phone number is (801) 731-4850.

What is Jerry L. Shaw, D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Jerry L. Shaw, D.D.S. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.