Individual provider · Type 1 NPI

Kenneth John Shaw, DDS

General Practice Dentistry · Cotati, CA

NPI number 1801988167 Active

Practice location

8125 La Plz
Cotati, CA 94931-4244

Fax (707) 795-4294

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X27067 (CA)

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 1801988167

Kenneth John Shaw, DDS's National Provider Identifier is 1801988167, issued on Sep 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cotati, CA. The record was last updated on Jul 8, 2007.