Organization
NICHOLAS J. SHAWD D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J SHAWD D.D.S. (PRESIDENT)
(605) 498-5907
Entity
Organization
Contact information
Practice address
725 E. KEVIN DR., STE. 101, TEA, SD 57064
(605) 498-5907
Mailing address
725 E. KEVIN DR., STE. 101, TEA, SD 57064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M993
SD
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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