1. Home
  2. Directory
  3. Missouri
  4. Sikeston
  5. Dentist
  6. NPI Profile

JUSTIN SHAW DMD
NPI 1558055525
Dentist in Sikeston, MO

Active since June 05, 2023
220 SOUTHLAND DR, SIKESTON, MO 63801(573) 471-4167(573) 471-4212 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Shaw Dmd NPPES

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

JUSTIN SHAW DMD (NPI 1558055525) is an individual dentist in Sikeston, Missouri, licensed in Missouri (2025035974) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1558055525
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUSTIN SHAWCredential: DMD
Location Address220 SOUTHLAND DRSikeston, MO 63801-4403
Mailing Address6738 State Highway 77Benton, MO 63736-8238 · (573) 545-4200
Phone(573) 471-4167
Fax(573) 471-4212
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1558055525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2025035974
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
220 SOUTHLAND DR, Sikeston, MO 63801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

ASHLEY ZEIGLER DENTAL HYGENTIST
Dental Hygienist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. GAIL REDMAN DDS
Dentist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
BLAKE ESSNER DDS
Dentist (General Practice)
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
STAS VIDYAKIN DMD
Dentist (General Practice)
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
AMBER GRAHAM
Dental Hygienist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. LIYA M KUNNASSERY DDS
Dentist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. JAMES M JERNIGAN DDS
Dentist (General Practice)
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167

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 Justin Shaw's NPI number?

The NPI number for Justin Shaw is 1558055525. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Justin Shaw located?

Justin Shaw practices at 220 Southland Dr, Sikeston, MO 63801. The listed phone number is (573) 471-4167.

What is Justin Shaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Justin Shaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Justin 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 Justin Shaw was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.