Individual
DR. NICHOLAS JON SHAWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
725 E KEVIN DR, SUITE 101, TEA, SD 57064-2070
(605) 498-5907
(605) 498-9147
Mailing address
725 E KEVIN DR, SUITE 101, TEA, SD 57064-2070
(605) 498-5907
(605) 498-9147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SD M993
SD
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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