DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEYANNI JHAMIA SHAW, DDS

Active Sole Proprietor

KEYANNI JHAMIA SHAW, DDS is a Dentist healthcare provider located in DOUGLASVILLE, Georgia. NPI 1083176275 is currently active in the NPPES registry. Verify at CMS.

Dentist · DOUGLASVILLE, GA

Registration Details

NPI Number
1083176275
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2019 (7.3727827736867 yrs)
Last Updated
Jul 22, 2021
Licenses
DGD.9664 (SC)
DN122281 (GA)
Sole Proprietor
Yes

Practice Information

Address
6351 DOUGLAS BLVD
DOUGLASVILLE, GA, 301357102
Browse GA providers · Browse ZIP 30135
Phone
4042670400
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in DOUGLASVILLE, GA

Name Credential NPI
DR. DENESE SHELTON DDS 1720181712
JACQUES R. WILLIAMS DDS 1982784997
DR. DIMITRIOS ARFANAKIS D.M.D. 1962556357
DR. JOEL RAY TIDWELL DDS 1386790848
DR. JIM GILL WILLIAMS DMD 1225157100
DR. TY G JAMES DMD 1114140472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.