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

Annelise Shaw, DMD

Individual provider Dentist · NPI 1568346674

Annelise Shaw, DMD is a Dentist in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2441 21st St
Fort Campbell, KY 42223-5582
Phone: (270) 798-8751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12913 (TN)

Record details

NPI number1568346674
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateJuly 6, 2025
Mailing address820 S Gateway Plaza Blvd Unit 1401, Clarksville, TN 37043-2779

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