Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaw DDS Dental Corporation

Organization Preferred Provider Organization · NPI 1154765899

Shaw DDS Dental Corporation is a Preferred Provider Organization in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

5220 W Washington Blvd 103
Los Angeles, CA 90016
Phone: (323) 933-5641
Fax: (323) 939-6620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 54813 (CA)

Record details

NPI number1154765899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rochelle Skinner — President · (323) 933-5641
NPI enumeratedApril 24, 2013
Last updated in NPPESOctober 25, 2013
Mailing address5220 W Washington Blvd, 103, Los Angeles, CA 90016-1331

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