| Thomas E. Shaw, Iii, D.d.s., P.a. | |
|
1701 S Alexander St Ste. 114 Plant City FL 33566-0965 | |
| (813) 752-7058 | |
| (813) 759-6108 |
| Full Name | Thomas E. Shaw, Iii, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 S Alexander St, Plant City, Florida |
| Authorized Official Name and Position | Thomas Edward Shaw (PRESIDENT) |
| Authorized Official Contact | 8137527058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Shaw, Iii, D.d.s., P.a. 1701 S Alexander St Ste. 114 Plant City FL 33566-0965 Ph: (813) 752-7058 | Thomas E. Shaw, Iii, D.d.s., P.a. 1701 S Alexander St Ste. 114 Plant City FL 33566-0965 Ph: (813) 752-7058 |
| NPI Number | 1861601379 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861601379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN9316 (Florida) | Primary |
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