IndividualActive
Gary Shellerud, DDS, PERIODONTIST
NPI 1124163068 · Periodontics · Spokane, WA
Provider details
- NPI number
- 1124163068
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, PERIODONTIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00005678 (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
4309 E Silver Spur Ln
Spokane, WA 99217-9321
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.