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

Justin Shaw, DMD

Individual provider Dentist · NPI 1558055525

Justin Shaw, DMD is a Dentist in Sikeston, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

220 Southland Dr
Sikeston, MO 63801-4403
Phone: (573) 471-4167
Fax: (573) 471-4212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2025035974 (MO)

Record details

NPI number1558055525
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address6738 State Highway 77, Benton, MO 63736-8238

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