Shaw, Mindy Jo

Shaw, Mindy Jo is an individual health care provider with primary practice located at 2247 Jordan Ave , Juneau AK 99801-8050. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shaw, Mindy Jo can be contacted via phone (907) 789-0619.

Contact Information

Primary practice address
2247 Jordan Ave Juneau AK 99801-8050
Phone: (907) 789-0619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1341 Alaska

Profile Details

NPI number 1952612186
LBN Legal business name Shaw, Mindy Jo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Aug 2nd, 2010 - about 16 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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