National Provider Identifier Database

SHAW DDS DENTAL CORPORATION
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

SHAW DDS DENTAL CORPORATION
5220 W WASHINGTON BLVD
103
LOS ANGELES, CA90016
Phone: 323-933-5641
Fax: 323-939-6620
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for SHAW DDS DENTAL CORPORATION

NPI Number 1154765899
Legal business name
LBN
SHAW DDS DENTAL CORPORATION
Authorized official ROCHELLE SKINNER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/24/2013
Last updated 10/25/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 54813

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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