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

Dr. Roderick Kirkpatrick Shaw III, DMD

Individual provider Dentist · NPI 1396083515

Dr. Roderick Kirkpatrick Shaw III, DMD is a Dentist in Madison, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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

255 NE Duval Ave
Madison, FL 32340-2542
Phone: (850) 973-6427
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 number1396083515
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 23, 2013
Last updated in NPPESJanuary 23, 2013

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