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NPI Code Detail

MEDICARE: DR. SHAWN MAULE DDS

MEDICARE: DR. SHAWN MAULE DDS
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
1122300000XDentistD010881AZ

General Provider Information

NPI Number : 1386242691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN MAULE DDS
Provider Business Mailing Address
First Line : 4710 E CACTUS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-7706
Country : US
Telephone Number : 480-442-0225
Fax Number : 480-701-8101
Provider Business Practice Location Address
First Line : 4317 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4501
Country : US
Telephone Number : 602-845-5730
Fax Number : 602-845-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2020
Last Update Date : 03/31/2026

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Directions to “ DR. SHAWN MAULE DDS” Practice Location

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