Krisan Shaw, D.D.S.
General Practice Dentistry · Ellsworth, WI
Practice location
501 W. Lucas LaneEllsworth, WI 54011
- Phone
- (715) 273-3700
- Fax
- (715) 273-1700
NPI record
- NPI
- 1730219239
- Entity type
- Individual (Type 1)
- Enumeration date
- March 6, 2007
- Last updated
- August 16, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
5175-015 | WI |
Mailing address
PO Box 310501 W. Lucas Lane
Ellsworth, WI 54011
- Phone
- (715) 273-3700
- Fax
- (715) 273-1700
About Dr. Shaw
Krisan Shaw, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 501 W. Lucas Lane, Ellsworth, WI 54011. The NPI number 1730219239 was assigned on March 6, 2007 and the record was last updated on August 16, 2026.
Dr. Shaw lists a license in the registry: #5175-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Krisan Shaw, D.D.S.?
The NPI number is 1730219239.
What is the phone number of Dr. Shaw?
The phone number listed for the practice location is (715) 273-3700.
Where is Dr. Shaw located?
501 W. Lucas Lane, Ellsworth, WI 54011.
What is the taxonomy code for Dr. Shaw?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Ellsworth
- Barbara E. Tashjian, DDS412 W. Kinne St.
- Shaw Family Dental SC501 W. Lucas Lane