OrganizationActive
Shaw Family Dental Sc
NPI 1396162020 · General Practice Dentistry · Ellsworth, WI
Provider details
- NPI number
- 1396162020
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Krisan Shaw, Owner(715) 425-6081
- License
- 5175-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
501 W. Lucas Lane
Ellsworth, WI 54011
Phone: (715) 273-3700
Fax: (715) 273-1700
Street-level locationGet directions
Mailing address
501 W. Lucas Lane
Ellsworth, WI 54011
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.