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 is a Dentist 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.

See every abbreviation used in this directory →

Practice location Address checks out

255 NE Duval Ave
Madison, FL 32340
Phone: (850) 973-6427
Fax: (850) 973-9646
Show map & directions

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

Other providers in Madison