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Active NPI 1124163068 Individual Practitioner Male Practitioner

Dr. Gary Michael Shellerud , DDS, PERIODONTIST

Dentist - Periodontics • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Shellerud, DDS, PERIODONTIST is a registered healthcare professional specializing in Dentist - Periodontics in Spokane, WA. Practice services are available at 508 W 6TH AVE STE 208 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 W 6th Ave Ste 208

Spokane, WA 992042730

Telephone 5098384321
Fax 5098384618
Associated Practice Facility / Clinic
🏢 Gary M Shellerud Dds Facility NPI 1104372556

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Spokane, WA (195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License WA 00005678

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1427318427

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 508 W 6TH AVE STE 208, SPOKANE, WA 992042730 (Tel: 5098384321)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4309 E SILVER SPUR LN, SPOKANE, WA 992179321 (Tel: 5094672407)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY SHELLERUD, DDS, PERIODONTIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #00005678 in WA)

🟢
Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124163068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4309 E Silver Spur Ln

Spokane, WA 992179321

Phone: 5094672407

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.