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

Shawn Mathew, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003492281

Shawn Mathew, DMD is a Student in an Organized Health Care Education/Training Program in Dacula, Georgia. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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

952 Harbins Rd Ste 401
Dacula, GA 30019-2824
Phone: (470) 268-3056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5462 Memorial Dr Ste 103, Stone Mountain, GA 30083-3239 — (770) 469-1331
  • 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 — (313) 494-6873

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2951000843 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003492281
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address952 Harbins Rd Ste 401, Dacula, GA 30019-2824

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