Dr. Thomas Edward Shaw Iii is a Kennesaw, Georgia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Thomas Edward Shaw Iii is DN009589 for General Practice Dentistry in Georgia. His current practice location is 2750 Watts Dr Nw, Kennesaw. Patients can reach him at 770-429-0955.
Dr. Thomas Edward Shaw Iii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Thomas Edward Shaw Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Thomas Edward Shaw Iii
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2750 Watts Dr Nw, Kennesaw, Georgia, 30144-2721
Phone:
770-429-0955
Fax:
770-429-0219
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366591166
NPI Enumeration Date:
09 Jan, 2007
NPI Last Update On:
23 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas Edward Shaw Iii are as mentioned below.
License Number
Specialization
State
Status
DN009589
General Practice Dentistry
Georgia
Primary
DN9316
General Practice Dentistry
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas Edward Shaw Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003155301A
Medicaid
Georgia
004102800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
371 Hickory Lake Dr, Acworth, Georgia
Zip:
30101-8753
Phone Number:
863-660-2316
Patients can reach Dr. Thomas Edward Shaw Iii at 2750 Watts Dr Nw, Kennesaw, Georgia or can call to book an appointment on 770-429-0955. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.