Dr Kenneth John Shaw, DDS in Cotati, CA - Dentist

Dr Kenneth John Shaw, DDS is a Dentist - General Practice based in Cotati, California. Dr Kenneth John Shaw is licensed to practice in California (license number 27067) and his current practice location is 8125 La Plz, Cotati, California. He can be reached at his office (for appointments etc.) via phone at (707) 795-6424.

NPI number for Dr Kenneth John Shaw is 1801988167 and his current mailing address is 8125 La Plz, Cotati, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801988167.

Contact Information

	Dr Kenneth John Shaw, DDS
	8125 La Plz, Cotati, CA 94931-4244
	(707) 795-6424
	(707) 795-4294

Healthcare Provider's Profile

Full Name	Dr Kenneth John Shaw
Gender	Male
Speciality	Dentist - General Practice
Location	8125 La Plz, Cotati, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1801988167
Provider Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kenneth John Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801988167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	27067 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth John Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth John Shaw, DDS 8125 La Plz, Cotati, CA 94931-4244 Ph: (707) 795-6424	Dr Kenneth John Shaw, DDS 8125 La Plz, Cotati, CA 94931-4244 Ph: (707) 795-6424

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Dentist in Cotati, CA

Dr. Armen Kupelian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7 Page St, Cotati, CA 94931 Phone: 707-795-5419 Fax: 707-795-5925
Dr. Jazmin Julia Zelaya-peo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 421 East Cotati Avenue, Cotati, CA 94931 Phone: 707-664-1200 Fax: 707-664-1206
Dr. Ralitza Varlakova, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8125 La Plz, Cotati, CA 94931 Phone: 707-795-6424

Dr Kenneth John Shaw, DDS - Dentist in Cotati, CA