RODERICK K SHAW III DMD PA


Address: 255 Ne Duval Ave, Madison, FL 32340
Phone: 8509736427

RODERICK K SHAW III DMD PA (NPI# 1295949444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295949444
Entity Type Organization
Organization Name RODERICK K SHAW III DMD PA
Practice Address 255 Ne Duval Ave
Madison
FL 32340
Practice Telephone 8509736427
Practice Fax Number 8509739646
Mailing Telephone 8509736427
Mailing Fax Number 8509739646
Enumeration Date 2007-05-09
Last Update Date 2020-08-22
Authorized Official Name DR. KATHLEEN B SHAW (VICE PRES)
Authorized Official Telephone 8509736427
Authorized Official Credential DM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DN10977 FL Dental Providers

Office Location

Street Address 255 NE DUVAL AVE
City MADISON
State FL
Zip Code 32340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396083515 Roderick Kirkpatrick Shaw IIi Dentist 255 Ne Duval Ave, Madison, FL 32340-2542 2013-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376016980 Annie Laura Dyke Registered Nurse 213 Sw Third Ave, Madison, FL 32340 2019-01-07
1730698051 Judith Khristian Sever-johnson Registered Nurse 218 Sw Third Avenue, Madison, FL 32340 2017-09-29
1265800437 Maria Anchondo Dentist Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 2015-09-04
1508106063 Family First Wellness Clinic, LLC Family Medicine 486 Sw Rutledge Street, Madison, FL 32340 2013-02-20
1306032073 North Florida Pharmacy of Madison Inc. Durable Medical Equipment & Medical Supplies 139 Sw Macon St, Madison, FL 32340 2007-09-17
1124159728 Duramed Medical Services Physiological Laboratory 289 Sw Range Ave, Ste D, Madison, FL 32340 2007-03-08
1861595514 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 407 East Base St, Madison, FL 32340 2006-09-07
1194701862 Mos LLC Nurse Practitioner 256 Sw Washington Ave, Madison, FL 32340 2005-12-15
1699248203 Katelynn Mae Croft Licensed Practical Nurse 213 Sw Third Ave, Madison, FL 32340 2019-01-07
1356826291 Bailey Grade Medical Care, LLC Family Medicine 289 Sw Range Ave, Suite C, Madison, FL 32340 2018-09-26
Find all providers in zip 32340

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548875305 Andre Oliveira-shahinfar Dentist 6038 Gemini Dr, Madison, WI 53718-3008 2020-09-09
1689286254 Rajdeepsinh Narendrasinh Dolia Dentist 12205 County Line Rd Ste A, Madison, AL 35758-7720 2020-08-17
1841815362 Payalben Baldev Patel Dentist 117 Fontanelle Blvd, Madison, MS 39110-6846 2020-06-10
1649824830 Applewhite Dental Wisconsin, P.C. Dentist 5610 Medical Cir Ste 10, Madison, WI 53719-1284 2019-07-26
1336792787 Mary Catherine Decker Dentist 8002 Watts Rd, Madison, WI 53719-3811 2019-07-24
1639739345 Matthew Douglas Smith Dentist 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 2019-06-14
1790277432 Allison Reimer Dentist 4602 E Washington Ave, Madison, WI 53704-3236 2018-05-30
1629599683 Melissa Ashlee Morrison Dentist 7617 Mineral Point Rd Ste 120, Madison, WI 53717-1623 2017-06-29
1336692417 Danielle Marie Meirick Dentist 434 Sidney St, Madison, WI 53703-1724 2016-07-26
1649648858 Terry A. Burgess Dentist 810 Palmer Plaza, # 103, Madison, AL 35758 2015-09-03
Find all providers in MADISON

Competitor

Search similar providers

City MADISON
Zip Code 32340

Improve Information

Please comment or provide details below to improve the information on RODERICK K SHAW III DMD PA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches