Micah Shaw, D.M.D.

NPI #1427345719 in Monroe, Georgia

Provider Information

NPI Number: 1427345719
Entity Type: Individual
Name: Micah Shaw, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 7, 2011
Last Updated: Jun 22, 2017

Practice Location

Address: 303 S BROAD ST
City: Monroe
State: Georgia
ZIP Code: 30655-2119
Phone: (770) 267-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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