Individual
DR. THOMAS EDWARD SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
997 HARRISON CITY RD, LEVELGREEN, PA 15085
(724) 744-4412
(724) 744-6078
Mailing address
PO BOX 521, HARRISON CITY, PA 15636
(724) 744-4412
(724) 744-6078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027980L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726094
UCCI
PA
Enumeration date
01/17/2007
Last updated
07/08/2007
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