National Provider Identifier
Kyle Drew Shaw, D.D.S
Kyle Drew Shaw, D.D.S is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-3717.
Profile Overview
- NPI
- 1003294117
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 08, 2015
- Last Updated
- December 11, 2015
Practice Location
- 114 Squire Hall
- Buffalo, NY 14214-8006
Phone: (716) 829-3717
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1003294117
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Kyle
- Middle Name
- Drew
- Name Prefix
- Dr.
- Credential
- D.D.S
- Mailing Street Address
- 114 Squire Hall
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-8006
- Mailing Country
- US
- Mailing Phone
- (716) 829-3717
- Practice Street Address
- 114 Squire Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-8006
- Practice Country
- US
- Practice Phone
- (716) 829-3717
- Enumeration Date
- May 08, 2015
- Last Updated
- December 11, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)