MR. TROY R. SHAW (NPI# 1689876179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689876179 |
| Entity Type | Individual |
| Full Name | MR. TROY R. SHAW |
| Credential | DMD, MS, PC |
| Practice Address |
1300 S Reserve St Ste C Missoula MT 59801-4704 |
| Practice Telephone | 4063270777 |
| Practice Fax Number | 4063278611 |
| Mailing Telephone | 4063270777 |
| Mailing Fax Number | 4063278611 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1974 | MT | Dental Providers |
| Street Address |
1300 S RESERVE ST STE C |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609098656 | Jeffrey J Karvandi | Dentist | 705 West Sussex Avenue, Missoula, MT 59801 | 2007-05-02 |
| 1265568901 | Fred L. Sayre | Dentist | 705 W Sussex Ave, Missoula, MT 59801-6834 | 2007-02-26 |
| 1861557308 | Christian Randall Kenworthy | Dentist | 690 Sw Higgins Ave Ste F, Missoula, MT 59803-1433 | 2006-12-26 |
| 1861553117 | Gregory D Olsen Dds Msd PC | Dentist | 1221 S Higgins Ave, Missoula, MT 59801 | 2006-12-12 |
| 1053487660 | D Briar Diggs | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803 | 2006-11-27 |
| 1003437302 | Jerde Orthodontics Pllc | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803-1409 | 2020-04-28 |
| 1326668542 | Dennehy & Jerde Orthodontics Pllc | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803-1409 | 2020-04-17 |
| 1508485574 | Kaia Jerde | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803-1409 | 2020-04-10 |
| 1194276329 | Jeffrey J. Karvandi, Dmd, Pllc | Dentist | 705 W Sussex Ave, Missoula, MT 59801-6834 | 2016-10-24 |
| 1750659660 | Padraig Dennehy | Dentist | 521 Sw Higgins Ave, Missoula, MT 59803-1409 | 2011-12-06 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.