OrganizationActive
Gary M Shellerud DDS
NPI 1104372556 · Periodontics · Spokane, WA
Provider details
- NPI number
- 1104372556
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gary Shellerud, Owner(509) 838-4321
- License
- 5678 (WA)
Specialties & taxonomies
Dental Providers
Practice location
508 W 6th Ave Ste 208
Spokane, WA 99204-2730
Phone: (509) 838-4321
Fax: (509) 838-4618
Approximate (ZIP-level) locationGet directions
Mailing address
508 W 6th Ave Ste 208
Spokane, WA 99204-2730
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2016-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.