Shaw, Thomas Edward

Shaw, Thomas Edward is an individual health care provider with primary practice located at 2750 Watts Dr Nw , Kennesaw GA 30144-2721. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaw, Thomas Edward can be contacted via phone (770) 429-0955.

Contact Information

Primary practice address
2750 Watts Dr Nw Kennesaw GA 30144-2721
Phone: (770) 429-0955
Fax: (770) 429-0219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN9316 Florida
Dental Providers / General Practice 1223G0001X DN009589 Georgia

Profile Details

NPI number 1366591166
LBN Legal business name Shaw, Thomas Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 23rd, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366591166 NPPES
Georgia MEDICAID 003155301A
Georgia MEDICAID 004102800

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