Thomas E. Shaw, III, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9316 Issued in FL

Legal business name

THOMAS E. SHAW, III, D.D.S., P.A.

Practice address

1701 S Alexander St
Ste. 114
Plant City, FL 33566-0965

Phone

(813) 752-7058

Fax

(813) 759-6108

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Edward Shaw III, D.D.S.

Title

President

Phone

(813) 752-7058

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861601379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S ALEXANDER ST",
            "address_2": "STE. 114",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660965",
            "telephone_number": "813-752-7058",
            "fax_number": "813-759-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S ALEXANDER ST",
            "address_2": "STE. 114",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660965",
            "telephone_number": "813-752-7058",
            "fax_number": "813-759-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. SHAW, III, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-752-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Plant City, FL
• Providers in Plant City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.