Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL LOREN SHAW, D.D.S.,M.S.
Active Sole ProprietorRANDALL LOREN SHAW, D.D.S.,M.S. is a Orthodontics healthcare provider located in SOUTHFIELD, Michigan. NPI 1891942165 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1891942165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2008 (18.015601923164 yrs)
- Last Updated
- Nov 24, 2020
- Licenses
-
13819 (MI)29010.013819 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18860 W 10 MILE RDSOUTHFIELD, MI, 480752666Browse MI providers · Browse ZIP 48075
- Phone
- 2485653331
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. HOWARD LESLIE TINGLING | DDS MS | 1689720153 |
| DR. JAY VICTOR EAGAN | DDS | 1386854891 |
| ANGELIQUE THOMAS | DDS | 1619539210 |
| JANELLE MCQUEEN | DDS | 1295335891 |
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.