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FREDRICK SHAW DDS PC NPI 1073716338


NPI Information

NPI: 1073716338
Provider Name: FREDRICK SHAW DDS, PC

Other Name: SHOAL CREEK PROSTHODONTIC GROUP

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1500 W 38TH ST
STE. 34
AUSTIN, TX
ZIP 78731
Phone: (512) 451-7491
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FREDRICK SHAW DDS, PC is a prosthodontics dentist in Austin, TX. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. FREDRICK SHAW DDS, PC NPI is 1073716338. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Shoal Creek Prosthodontic Group.

The provider's business location address is:

1500 W 38TH ST
STE. 34
AUSTIN, TX
ZIP 78731-321
Phone: (512) 451-7491
Fax: (512) 451-5388

The provider's authorized official is Adrian F Ramos .
The authorized official title is Insurance Coordinator and has the following contact phone number (512) 451-7491.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics17867TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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