Individual
DR. BARRY MARK SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33 FRONT STREET, BINGHAMTON, NY 13905
(607) 723-9576
(607) 722-8006
Mailing address
33 FRONT STREET, BINGHAMTON, NY 13905
(607) 723-9576
(607) 722-8006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
029582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00885709
—
NY
Enumeration date
10/23/2006
Last updated
07/08/2007
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