Kenneth John Shaw in Cotati - General Practice

Kenneth John Shaw - NPI 1801988167

Kenneth John Shaw is a General Practice in Cotati, California. Kenneth John Shaw practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth John Shaw is 1801988167. The last update date is 2007-07-08.

Kenneth John Shaw's current location address is 8125 La Plz, Cotati, California. You can contact this provider via phone number 7077956424 and fax number 7077954294. The mailing address for Kenneth John Shaw is 8125 La Plz, Cotati, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth John Shaw
Address 8125 La Plz, Cotati, California
Phone Number 7077956424
Fax Number 7077954294
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1801988167
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8125 La Plz
City Cotati
State California (CA)
Post Code 949314244
Phone Number 7077956424
Fax Number 7077954294

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 27067
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kenneth John Shaw

What is the unique identifier code issued to Kenneth John Shaw by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth John Shaw has been assigned the NPI (National Provider Identifier) 1801988167. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kenneth John Shaw's facilities are situated?

The facilities of Kenneth John Shaw are physically located at the following address: 8125 La Plz, Cotati, CA, 949314244.

What is Kenneth John Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth John Shaw's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did Kenneth John Shaw receive its 1801988167 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth John Shaw was assigned its 1801988167 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kenneth John Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenneth John Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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