MEDICARE: MR. STEPHEN O SHAW DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9043	TN
2	1223G0001X	General Practice Dentistry	DN012825	GA

General Provider Information

NPI Number	:	1215139183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN O SHAW DDS

Provider Business Mailing Address
First Line	:	4203 CLOUD SPRINGS RD
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736
Country	:	US
Telephone Number	:	706-891-2008
Fax Number	:	706-820-6756

Provider Business Practice Location Address
First Line	:	4203 CLOUD SPRINGS RD
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736
Country	:	US
Telephone Number	:	706-891-2008
Fax Number	:	706-820-6756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	05/11/2012

Similar Medicare Providers

1003767245 — RAKITAH ABDULLAH
Practice Location Address:

3164 HOUSTON VALLEY RD
RINGGOLD, GA
30736-8711

Practice Phone: 706-349-1182
Practice Fax:

1770585028 — COMPREHENSIVE HEALTHCARE SERVICES
Practice Location Address:

227 N BRENT DR
RINGGOLD, GA
30736-8238

Practice Phone: 706-861-7733
Practice Fax: 706-861-7777

1174520837 — DR. THOMAS N MULLEN M.D.
Practice Location Address:

126 SEQUOYAH TRL
RINGGOLD, GA
30736-4360

Practice Phone: 706-965-2179
Practice Fax:

1104826049 — A NEW ME
Practice Location Address:

7715 NASHVILLE ST
RINGGOLD, GA
30736-2302

Practice Phone: 706-935-2799
Practice Fax: 706-937-5252

1205836822 — GEORGE THOMAS GILMORE MD
Practice Location Address:

4700 BATTLEFIELD PKWY , SUITE 130
RINGGOLD, GA
30736-5166

Practice Phone: 706-866-2740
Practice Fax: 706-861-3944

1275533598 — RONAL DOWNING GRAHAM DDS
Practice Location Address:

896 LAFAYETTE ST
RINGGOLD, GA
30736-2367

Practice Phone: 706-935-2251
Practice Fax: 706-935-5355

1376537001 — STEVEN CLARK KENNEDY MD
Practice Location Address:

4700 BATTLEFIELD PKWY STE 220
RINGGOLD, GA
30736-5168

Practice Phone: 423-698-8692
Practice Fax: 423-624-7813

Directions to “ MR. STEPHEN O SHAW DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.