| Dr Thomas Edward Shaw Iii, DDS | |
|
2750 Watts Dr Nw, Kennesaw, GA 30144-2721 | |
| (770) 429-0955 | |
| (770) 429-0219 |
| Full Name | Dr Thomas Edward Shaw Iii |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2750 Watts Dr Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591166 | NPI | - | NPPES |
| 003155301A | Medicaid | GA | |
| 004102800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN9316 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN009589 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Edward Shaw Iii, DDS 371 Hickory Lake Dr, Acworth, GA 30101-8753 Ph: (863) 660-2316 | Dr Thomas Edward Shaw Iii, DDS 2750 Watts Dr Nw, Kennesaw, GA 30144-2721 Ph: (770) 429-0955 |
Daniel Whitner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2105 Barrett Park Dr Nw, Kennesaw, GA 30144 Phone: 770-421-8653 | |
Dr. Bruce Alan Hester, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2980 Lewis St Nw, Kennesaw, GA 30144 Phone: 770-422-1554 Fax: 770-422-2893 | |
Dr. Linda Wolf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Hawkins Store Rd Nw, Suite A-1, Kennesaw, GA 30144 Phone: 770-926-3400 Fax: 770-926-6317 | |
Dr. Eddie Woods, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 Chastain Center Blvd Nw, Suite 135, Kennesaw, GA 30144 Phone: 678-836-2115 Fax: 770-441-0299 | |
Dr. Kimberly M Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3104 Creekside Village Dr Nw, Suite 301, Kennesaw, GA 30144 Phone: 770-974-8211 | |
Dr. David Michael Hildreth, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2430 Powell Pl Nw, Kennesaw, GA 30144 Phone: 770-424-1705 | |
Dr. Lechandre Bonner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 Barrett Pkwy Ste 4060, Kennesaw, GA 30144 Phone: 678-905-6300 Fax: 678-905-6301 |