Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649610130 Individual Practitioner Male Practitioner

Dr. Keith Billings Shaw , DMD

Dentist - General Practice • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Shaw, DMD is a registered healthcare professional specializing in Dentist - General Practice in Decatur, GA. Practice services are available at 4324 COVINGTON HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4324 Covington Hwy

Decatur, GA 300351208

Telephone 4042896454
Associated Practice Facility / Clinic
🏢 Walter A Grage Dds Pc Facility NPI 1538255971

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Decatur, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN014607

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License GA DN014607

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Dale Mayfield , DMD

Dentist - General Practice

NPI 1023110558

Doctor of Dental Medicine

NPI 1427430271

Doctor of Dental Medicine

Dr. Walter Grage , DDS

Dentist - General Practice

NPI 1669567731

Doctor of Dental Surgery

NPI 1770682502

Doctor of Dental Surgery

Dr. Joe Wells , DDS

Dentist - General Practice

NPI 1841376159

Doctor of Dental Surgery

NPI 1962565937

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2013

Registered at 4324 COVINGTON HWY, DECATUR, GA 300351208 (Tel: 4042896454)

📍
Updated Business Mailing Address June 27, 2013

Registered at 2945 ROSEBUD RD, #420, LOGANVILLE, GA 300528947 (Tel: 2087098782)

👤
Provider Name / Credentials Updated June 27, 2013

Recorded as KEITH SHAW, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2013

Dentist (License #DN014607 in GA)

🟢
Initial NPI Registration & Enumeration June 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649610130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2013
Last Update: June 27, 2013
Sole Proprietor: No

Mailing Address

2945 Rosebud Rd, #420

Loganville, GA 300528947

Phone: 2087098782

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.