Provider Demographics
NPI:1295998870
Name:SHATTO, CARY (DDS)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:
Last Name:SHATTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10233 E NORTHWEST HWY STE 510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4420
Mailing Address - Country:US
Mailing Address - Phone:214-340-4965
Mailing Address - Fax:214-343-0154
Practice Address - Street 1:10233 E NORTHWEST HWY STE 510
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-4420
Practice Address - Country:US
Practice Address - Phone:214-340-4965
Practice Address - Fax:214-343-0154
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice