Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODERICK KIRKPATRICK SHAW III, DMD
Active Sole ProprietorDR. RODERICK KIRKPATRICK SHAW III, DMD is a Dentist healthcare provider located in MADISON, Florida. NPI 1396083515 is currently active in the NPPES registry. Verify at CMS.
Dentist · MADISON, FL
Registration Details
- NPI Number
- 1396083515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2013 (13.550283713787 yrs)
- Last Updated
- Jan 23, 2013
- License
-
DN10977 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
255 NE DUVAL AVEMADISON, FL, 323402542Browse FL providers · Browse ZIP 32340
- Phone
- 8509736427
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MADISON, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW JOSEPH ALLEN | DMD | 1871744896 |
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.