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

Shaw Family Dental SC

Organization General Practice Dentistry · NPI 1396162020

Shaw Family Dental SC is a General Practice Dentistry in Ellsworth, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

501 W Lucas Ln
Ellsworth, WI 54011
Phone: (715) 273-3700
Fax: (715) 273-1700
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5175-015 (WI)

Record details

NPI number1396162020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krisan Shaw — Owner · (715) 425-6081
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 19, 2014
Mailing address501 W. Lucas Lane, Ellsworth, WI 54011

Other providers in Ellsworth