| Family Dental Care, Chad Shaw D.d.s.,p.c. | |
|
1409 N Michigan St Plymouth IN 46563-1119 | |
| (574) 936-8787 | |
| Not Available |
| Full Name | Family Dental Care, Chad Shaw D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1409 N Michigan St, Plymouth, Indiana |
| Authorized Official Name and Position | Chad J. Shaw (PRESIDENT) |
| Authorized Official Contact | 5749368787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care, Chad Shaw D.d.s.,p.c. 1409 N Michigan St Plymouth IN 46563-1119 Ph: (574) 936-8787 | Family Dental Care, Chad Shaw D.d.s.,p.c. 1409 N Michigan St Plymouth IN 46563-1119 Ph: (574) 936-8787 |
| NPI Number | 1104950492 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104950492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010465A (Indiana) | Primary |
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