IndividualActive
Allan Shaw, DDS
NPI 1871525485 · Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA
Provider details
- NPI number
- 1871525485
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS014349L (PA)
Specialties & taxonomies
Dental Providers
Practice location
1601 Walnut St
Suite #1116
Philadelphia, PA 19102-2944
Phone: (215) 640-0811
Fax: (215) 640-0912
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Walnut St
Philadelphia, PA 19102-2944
Registry dates
- Enumerated
- 2006-07-06
- 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.