Individual provider · Type 1 NPI

Randall Loren Shaw, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Southfield, MI

NPI number 1891942165 Active

Practice location

18860 W 10 Mile Rd
Southfield, MI 48075-2666

Mailing address

350 Pine Ridge Dr
Bloomfield Hills, MI 48304-2139

Other practice locations

  • 33627 7 Mile Rd, Livonia, MI 48152-3077 · (248) 471-1555

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X13819 (MI)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X29010.013819 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1891942165

Randall Loren Shaw, DDS, M.S.'s National Provider Identifier is 1891942165, issued on Aug 19, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Southfield, MI. The record was last updated on Nov 24, 2020.