DR. THOMAS EDWARD SHAW III D.D.S.
NPI 1366591166
Dentist - General Practice in Kennesaw, GA

Active since January 09, 2007
2750 WATTS DR NW, KENNESAW, GA 30144(770) 429-0955(770) 429-0219 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 23, 2023, Oct 7, 2022, Dec 14, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Thomas Edward Shaw Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS EDWARD SHAW III D.D.S. (NPI 1366591166) is an individual general practice provider in Kennesaw, Georgia, licensed in Georgia (DN009589) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366591166
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS EDWARD SHAW IIICredential: D.D.S.
Location Address2750 WATTS DR NWKennesaw, GA 30144-2721
Mailing Address371 Hickory Lake DrAcworth, GA 30101-8753 · (863) 660-2316
Fax(770) 429-0219
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 23, 20234 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1366591166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN009589✔ Licensed in FL · DN9316
Definition
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.
2750 WATTS DR NW, Kennesaw, GA 30144

Other Identifiers 2

Medicaid003155301AGA
Medicaid004102800FL

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2750 WATTS DR NW
KENNESAW, GA 30144
Dentist (General Practice)
2750 WATTS DR NW
KENNESAW, GA 30144
Dentist (General Practice)
2750 WATTS DR NW
KENNESAW, GA 30144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Shaw's NPI number?

The NPI number for Thomas Shaw is 1366591166. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Thomas Shaw located?

Thomas Shaw practices at 2750 Watts Dr NW, Kennesaw, GA 30144. The listed phone number is (770) 429-0955.

What is Thomas Shaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Thomas Shaw accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Thomas Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Shaw was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.