Keith Billings Shaw, DMD

NPI #1649610130 in Decatur, Georgia

Provider Information

NPI Number: 1649610130
Entity Type: Individual
Name: Keith Billings Shaw, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 27, 2013
Last Updated: Jun 27, 2013

Practice Location

Address: 4324 COVINGTON HWY
City: Decatur
State: Georgia
ZIP Code: 30035-1208
Phone: (404) 289-6454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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