P Praxis·MD
● Active Type 1 · Individual

DR. Thomas Edward Shaw III, D.D.S.

Dentist·Kennesaw, GA· NPI 1366591166 · Enumerated 2007 · 19 years on NPI
Shaw is 1 of 52 dentist providers in Kennesaw and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2007-01-09
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2750 Watts Dr Nw
Kennesaw, GA 301442721
📞 7704290955fax 7704290219
Mailing address
371 Hickory Lake Dr
Acworth, GA 301018753
📞 8636602316

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN009589FL license #DN9316 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 003155301A
05 (FL) 004102800
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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