# SHAWN R MCDEVITT DDS PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023113990
- **Authorized official:** DR. SHAWN R MCDEVITT D.D.S. (PRESIDENT)
- **Authorized official phone:** (509) 453-5568

## Contact information

- **Practice address:** 307 S 11TH AVE, YAKIMA, WA 98902-3256
- **Practice address phone:** (509) 453-5568
- **Practice address fax:** (509) 453-5698
- **Mailing address:** 307 S 11TH AVE, YAKIMA, WA 98902-3256
- **Mailing address phone:** (509) 453-5568
- **Mailing address fax:** (509) 453-5698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 00007747 | WA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5023676 | — | WA |