Individual provider · Type 1 NPI

Kim Leslie Shaw, DDS

General Practice Dentistry · Lakewood Ranch, FL

NPI number 1457553265 Active

Practice location

9105 Town Center Pkwy
Lakewood Ranch, FL 34202-5141

Call (941) 538-6064 Map

Fax (941) 538-6064

Mailing address

PO Box 14249
Bradenton, FL 34280-4249

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN12463 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1457553265

Kim Leslie Shaw, DDS's National Provider Identifier is 1457553265, issued on Jun 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakewood Ranch, FL. The record was last updated on Aug 12, 2026.