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

RODERICK K SHAW III DMD PA

Active Organization

RODERICK K SHAW III DMD PA is a Dentist organization located in MADISON, Florida. NPI 1295949444 is currently active in the NPPES registry. Verify at CMS.

Dentist · MADISON, FL

Registration Details

NPI Number
1295949444
Provider Type
Organization
NPI Issued
May 9, 2007 (19.260108674683 yrs)
Last Updated
Aug 22, 2020
License
DN10977 (FL)

Practice Information

Address
255 NE DUVAL AVE
MADISON, FL, 32340
Browse FL providers · Browse ZIP 32340
Phone
8509736427
Fax
8509739646
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.