Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOHN SHAW, DDS
Active Sole ProprietorDR. KENNETH JOHN SHAW, DDS is a General Dentistry healthcare provider located in COTATI, California. NPI 1801988167 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · COTATI, CA
Registration Details
- NPI Number
- 1801988167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.890809231971 yrs)
- Last Updated
- Jul 8, 2007
- License
-
27067 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8125 LA PLZCOTATI, CA, 949314244Browse CA providers · Browse ZIP 94931
- Phone
- 7077956424
- Fax
- 7077954294
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in COTATI, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAZMIN JULIA ZELAYA-PEO | DDS | 1629290432 |
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.