Shaw, Larry James
Shaw, Larry James is an sole proprietor health care provider with primary practice located at 315 N Broad St , Winder GA 30680-2156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaw, Larry James can be contacted via phone (770) 867-9451.Contact Information
Primary practice address
315 N Broad St
Winder GA 30680-2156
Phone: (770) 867-9451
Fax: (770) 867-0951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN008451 | Georgia |
Profile Details
| NPI number | 1750459608 |
|---|---|
| LBN Legal business name | Shaw, Larry James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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