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General NPI Number Information
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NPI Number | 1407784028
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Entity Type | Organization
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Legal Business Name | GRAHAM SHADWICK, DDS, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 2727 BUENA VISTA DR STE 110
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City | PASO ROBLES
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State | CA
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Zip | 93446-8581
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Country | US
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Telephone | 805-231-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 BUENA VISTA DR STE 110
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City | PASO ROBLES
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State | CA
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Zip | 93446-8581
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Country | US
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Telephone | 805-231-1118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRAHAM SHADWICK
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Credential | DDS
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Telephone | 913-744-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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