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SHAW FAMILY DENTAL SC
NPI 1396162020
Dentist - General Practice in Ellsworth, WI

Active since March 19, 2014
501 W. LUCAS LANE, ELLSWORTH, WI 54011(715) 273-3700(715) 273-1700 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaw Family Dental Sc NPPES

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

SHAW FAMILY DENTAL SC (NPI 1396162020) is a healthcare organization registered as a general practice in Ellsworth, Wisconsin and active in the NPI registry since March 2014. The organization lists Krisan Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1396162020
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAW FAMILY DENTAL SC
Location Address501 W. LUCAS LANEEllsworth, WI 54011
Mailing Address501 W. Lucas LaneEllsworth, WI 54011 · (715) 273-3700 · Fax (715) 273-1700
Phone(715) 273-3700
Fax(715) 273-1700
Organization SubpartNo
Authorized OfficialKrisan ShawOwner · (715) 425-6081
Enumeration DateMarch 19, 2014
✔ NPI 1396162020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5175-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
501 W. LUCAS LANE, Ellsworth, WI 54011
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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. KRISAN SHAW D.D.S.
Dentist (General Practice)
501 W. LUCAS LANE
ELLSWORTH, WI 54011
Pierce County (715) 273-3700

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 Shaw Family Dental Sc's NPI number?

The NPI number for Shaw Family Dental Sc is 1396162020. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Shaw Family Dental Sc located?

Shaw Family Dental Sc is located at 501 W. Lucas Lane, Ellsworth, WI 54011. The listed phone number is (715) 273-3700.

What is Shaw Family Dental Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shaw Family Dental Sc was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.