DR. Roderick Kirkpatrick Shaw III, DMD

NPI #1396083515 in Madison, Florida

Provider Information

NPI Number: 1396083515
Entity Type: Individual
Name: DR. Roderick Kirkpatrick Shaw III, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 23, 2013
Last Updated: Jan 23, 2013

Practice Location

Address: 255 NE DUVAL AVE
City: Madison
State: Florida
ZIP Code: 32340-2542
Phone: (850) 973-6427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Roderick K Shaw III Dmd PA	Dentist	Madison	AI Deep Dive

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