Individual provider · Type 1 NPI

Justin Shaw, DMD

Dentist · Sikeston, MO

NPI number 1558055525 Active

Practice location

220 Southland Dr
Sikeston, MO 63801-4403

Fax (573) 471-4212

Mailing address

6738 State Highway 77
Benton, MO 63736-8238

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2025035974 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1558055525

Justin Shaw, DMD's National Provider Identifier is 1558055525, issued on Jun 5, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Sikeston, MO. The record was last updated on Aug 27, 2025.