MEDICARE: DR. HARRY ROBERT SHAW D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5615	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	124148	OTHER		EHP, JH HEALTHCARE LLC
2	173281	OTHER		UNITED CONCORDIA HONORS
3	5775	OTHER	MD	BLUE CROSS / BLUE SHIELD
4	95695	OTHER		DENTAL BENEFIT PROVIDERS
5	838342	OTHER		TRICARE ACTIVE DUTY

General Provider Information

NPI Number	:	1295735603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY ROBERT SHAW D.M.D.

Provider Business Mailing Address
First Line	:	7147 SECURITY BLVD
Second Line	:	SUITE 100 BOULEVARD PLACE
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1811
Country	:	US
Telephone Number	:	410-298-8787
Fax Number	:	410-298-0146

Provider Business Practice Location Address
First Line	:	7147 SECURITY BLVD
Second Line	:	SUITE 100 BOULEVARD PLACE
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1811
Country	:	US
Telephone Number	:	410-298-8787
Fax Number	:	410-298-0146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1518039734 — CHRISTOPHER WU MD
Practice Location Address:

7141 SECURITY BLVD , KAISER PERMANENTE WOODLAWN MEDICAL CENTER
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-663-6000
Practice Fax:

1710055124 — MS. DEBRA S G JAVINS PAC
Practice Location Address:

7141 SECURITY BLVD
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-663-6412
Practice Fax: 443-663-6411

1417013418 — MS. HARRIET A TOOTLE CRNP
Practice Location Address:

7141 SECURITY BOULEVARD , KAISER PERMANENTE PPQA 6 WEST ATTN THERESA BROOKS
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-663-6170
Practice Fax: 443-663-6308

1346399649 — MICHAEL BRYANT DDS
Practice Location Address:

7147 SECURITY BLVD STE 100
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-200-2915
Practice Fax: 443-200-3827

Directions to “ DR. HARRY ROBERT SHAW D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.