IndividualActive
Gary Shaw, D.D.S.
NPI 1154587087 · Dentist · University Place, WA
Provider details
- NPI number
- 1154587087
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE 00006436 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4103 Bridgeport Way W
Ste a
University Place, WA 98466-4300
Phone: (253) 565-4474
Fax: (253) 565-6848
Street-level locationGet directions
Mailing address
4103 Bridgeport Way W
University Place, WA 98466-4300
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2008-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.