Shaw, Dewayne S
Shaw, Dewayne S is an individual health care provider with primary practice located at 4458 Jonesboro Rd , Forest Park GA 30297-4314. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaw, Dewayne S can be contacted via phone (678) 904-5665.Contact Information
Primary practice address
4458 Jonesboro Rd
Forest Park GA 30297-4314
Phone: (678) 904-5665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013039 | Georgia |
Profile Details
| NPI number | 1497822472 |
|---|---|
| LBN Legal business name | Shaw, Dewayne S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Wyatt, Alfred Dyonisius
6230 Old National Hwy , College Park GA 30349-4330 -
Malayter, Amanda
4458 Jonesboro Rd , Forest Park GA 30297-4314 -
Burnett, Gordon Berry
1895 Phoenix Blvd Suite 148, College Park GA 30349-5533 -
Kimble, Travis E
3841 Main St , College Park GA 30337-3655 -
Pittman, Bobby Teron
4458 Jonesboro Rd , Forest Park GA 30297-4314 -
Rentz, Lester James
3012 U.S. Hwy 41 South , Lake Park GA 31636-3467 -
Swanson, Riley R
2090 Godby Rd , College Park GA 30349-5248