Organization
GARY D. SHUE, D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. SHUE (DENTIST)
(740) 474-2485
Entity
Organization
Contact information
Practice address
229 N COURT ST, CIRCLEVILLE, OH 43113-1607
(740) 474-2485
Mailing address
229 N COURT ST, CIRCLEVILLE, OH 43113-1607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH16952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474366
—
OH
Enumeration date
11/15/2011
Last updated
11/15/2011
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