OrganizationActive
Gary M Shellerud DDS
NPI 1104372556 · Periodontics · Spokane, WA
Gary M Shellerud DDS is a Periodontics organization in Spokane, WA (NPI 1104372556).
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
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
508 W 6th Ave Ste 208
Spokane, WA 99204-2730
Phone: (509) 838-4321
Fax: (509) 838-4618
Street-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
Frequently asked questions
- What is Gary M Shellerud DDS's NPI number?
- Gary M Shellerud DDS's National Provider Identifier (NPI) is 1104372556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gary M Shellerud DDS?
- Gary M Shellerud DDS is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Gary M Shellerud DDS located?
- Gary M Shellerud DDS's practice location on file with NPPES is 508 W 6th Ave Ste 208, Spokane, WA 99204-2730.
- What is Gary M Shellerud DDS's phone number?
- The practice phone number listed in the NPPES registry for Gary M Shellerud DDS is (509) 838-4321.
- Who is the authorized official for Gary M Shellerud DDS?
- The authorized official listed on Gary M Shellerud DDS's NPPES record is Gary Shellerud, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gary M Shellerud DDS's NPI active?
- Yes — Gary M Shellerud DDS's NPI (1104372556) is active in the NPPES registry as of the last update on 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.