Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roderick K Shaw III DMD PA

Organization Dentist · NPI 1295949444

Roderick K Shaw III DMD PA provides Dentist services in Madison, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 NE Duval Ave
Madison, FL 32340
Phone: (850) 973-6427
Fax: (850) 973-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10977 (FL)

Record details

NPI number1295949444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Shaw — Vice Pres · (850) 973-6427
NPI enumeratedMay 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address255 Ne Duval Ave, Madison, FL 32340

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