Keyanni Jhamia Shaw, DDS

Dentist · Douglasville, GA

Individual Active NPI

NPI number 1083176275

Practice location

6351 Douglas Blvd
Douglasville, GA 30135-7102
Phone
(404) 267-0400

Open in Google Maps

NPI record

NPI
1083176275
Entity type
Individual (Type 1)
Enumeration date
April 5, 2019
Last updated
July 22, 2021
Certified
July 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN122281 GA
General Practice Dentistry 1223G0001X DGD.9664 SC

Mailing address

11409 Panhandle Rd
Hampton, GA 30228-1504
Phone
(770) 572-4915

About Dr. Shaw

Keyanni Jhamia Shaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6351 Douglas Blvd, Douglasville, GA 30135-7102. The NPI number 1083176275 was assigned on April 5, 2019 and the record was last updated on July 22, 2021.

Dr. Shaw lists 2 licenses in the registry: #DN122281 (GA) for Dentist; #DGD.9664 (SC) 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 Keyanni Jhamia Shaw, DDS?

The NPI number is 1083176275.

What is the phone number of Dr. Shaw?

The phone number listed for the practice location is (404) 267-0400.

Where is Dr. Shaw located?

6351 Douglas Blvd, Douglasville, GA 30135-7102.

What is the taxonomy code for Dr. Shaw?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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 Dentist providers in Douglasville

All Dentist providers in Douglasville, GA →