Dewayne S Shaw in Forest Park - General Practice
Dewayne S Shaw - NPI 1497822472
Dewayne S Shaw is a General Practice in Forest Park, Georgia. Dewayne S Shaw practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dewayne S Shaw is 1497822472. The last update date is 2007-07-09.
Dewayne S Shaw's current location address is 4458 Jonesboro Rd, Forest Park, Georgia. You can contact this provider via phone number 6789045665. The mailing address for Dewayne S Shaw is 4458 Jonesboro Rd, Forest Park, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dewayne S Shaw |
---|---|
Address | 4458 Jonesboro Rd, Forest Park, Georgia |
Phone Number | 6789045665 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1497822472 |
---|---|
Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 4458 Jonesboro Rd |
---|---|
City | Forest Park |
State | Georgia (GA) |
Post Code | 302974314 |
Phone Number | 6789045665 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 1223G0001X |
Licence No | DN013039 |
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. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dewayne S Shaw by the Centers for Medicare & Medicaid Services?
The Dewayne S Shaw has been issued the NPI (National Provider Identifier) 1497822472 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dewayne S Shaw?
The Dewayne S Shaw is situated at 4458 Jonesboro Rd, in the city of Forest Park, state of GA, with the zip code 302974314.
What is the Dewayne S Shaw's specialty and taxonomy code?
The Dewayne S Shaw's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497822472 to Dewayne S Shaw?
The Dewayne S Shaw received its 1497822472 assignment from the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details related to Dewayne S Shaw most recently updated or revised?
The information pertaining to Dewayne S Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.