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Roderick K Shaw III Dmd PA

Dentist in Madison, FL · enumerated 2007 · authorized official Kathleen Shaw, Vice Pres.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295949444

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Registry record

Entity type Organization (Type 2)
Legal business name Roderick K Shaw III Dmd PA
Practice address 255 Ne Duval Ave, Madison, FL, 32340
Fax (850) 973-9646
Enumeration date May 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License DN10977 (FL) Primary

Authorized official

Name Kathleen Shaw
Title Vice Pres

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Roderick K Shaw III Dmd PA?
The NPI for Roderick K Shaw III Dmd PA is 1295949444, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Roderick K Shaw III Dmd PA?
NPPES lists Kathleen Shaw (Vice Pres) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.