Kenneth John Shaw, DDS
General Practice Dentistry · Cotati, CA
Practice location
8125 La PLZCotati, CA 94931-4244
- Phone
- (707) 795-6424
- Fax
- (707) 795-4294
NPI record
- NPI
- 1801988167
- Entity type
- Individual (Type 1)
- Enumeration date
- September 28, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
27067 | CA |
About Dr. Shaw
Kenneth John Shaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8125 La PLZ, Cotati, CA 94931-4244. The NPI number 1801988167 was assigned on September 28, 2006 and the record was last updated on July 8, 2007.
Dr. Shaw lists a license in the registry: #27067 (CA) 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 Kenneth John Shaw, DDS?
The NPI number is 1801988167.
What is the phone number of Dr. Shaw?
The phone number listed for the practice location is (707) 795-6424.
Where is Dr. Shaw located?
8125 La PLZ, Cotati, CA 94931-4244.
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 Cotati
- Varlakova Dental Corporation8125 La PLZ
- Yang Dental Corp7 Page St
- Julia Jazmin Peo, D.D.S., Inc.421 E Cotati Ave
- Jazmin Julia Zelaya-Peo, DDS421 East Cotati Avenue
- Nathaniel Orlie Lasalle, DDS421 E Cotati Ave Ste a