Provider Demographics
NPI:1518176254
Name:DENISE TAYLOR-SHAW DDS PA
Entity Type:Organization
Organization Name:DENISE TAYLOR-SHAW DDS PA
Other - Org Name:GENTLETOUCH DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:TAYLOR-SHAW
Authorized Official - Last Name:TAYLOR-SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-589-8110
Mailing Address - Street 1:8630 FENTON ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3806
Mailing Address - Country:US
Mailing Address - Phone:301-589-8110
Mailing Address - Fax:301-589-2900
Practice Address - Street 1:8630 FENTON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3806
Practice Address - Country:US
Practice Address - Phone:301-589-8110
Practice Address - Fax:301-589-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9445122300000X
MD3643122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty