Dewayne S. Shaw, DDS

General Practice Dentistry · Forest Park, GA

Individual Active NPI

NPI number 1497822472

Practice location

4458 Jonesboro Rd
Forest Park, GA 30297-4314
Phone
(678) 904-5665

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NPI record

NPI
1497822472
Entity type
Individual (Type 1)
Enumeration date
November 29, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013039 GA

About Dr. Shaw

Dewayne S. Shaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4458 Jonesboro Rd, Forest Park, GA 30297-4314. The NPI number 1497822472 was assigned on November 29, 2006 and the record was last updated on July 9, 2007.

Dr. Shaw lists a license in the registry: #DN013039 (GA) 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 Dewayne S. Shaw, DDS?

The NPI number is 1497822472.

What is the phone number of Dr. Shaw?

The phone number listed for the practice location is (678) 904-5665.

Where is Dr. Shaw located?

4458 Jonesboro Rd, Forest Park, GA 30297-4314.

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.

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