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

Dr. Brock Shaw, DDS

Individual provider Dentist · NPI 1033729991

Dr. Brock Shaw, DDS is a Dentist in APO, Armed Forces Pacific. Practices as a sole proprietor and works from 3 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

18 Mdg Unit 5142
APO, AP 96368-5142
Phone: (315) 630-4902

Additional practice locations (2)

  • 280 1st St Bldg 23, Holloman Afb, NM 88330-8273 — (575) 572-3742
  • 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 — (702) 653-2600

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11826346 (UT)

Record details

NPI number1033729991
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address18 Mdg, Unit 5142, Apo, AP 96368-5142

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