Doctor profile · Federal record
Dr. Keith Shaw, DMD
General Practice Dentistry · Dentist · Decatur, GA
- NPI 1649610130
- 13 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4324 Covington Hwy
Decatur, GA 300351208
(404) 289-6454 - Mailing address
-
2945 Rosebud RD, #420
Loganville, GA 300528947
Credentials & registration
- NPI registered
- June 2013 — 13 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Georgia #DN014607
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649610130. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$575
Transactions
17
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ortho Organizers, Inc. | 17 | $575.00 |
By nature of payment
Frequently asked questions
What is Dr. Keith Shaw's medical specialty?
Dr. Keith Shaw practices General Practice Dentistry in Decatur, GA.
Where does Dr. Keith Shaw practice?
Dr. Keith Shaw practices at 4324 Covington Hwy, Decatur, GA 300351208. Office phone: 4042896454.
What is Dr. Keith Shaw's NPI?
Dr. Keith Shaw's National Provider Identifier (NPI) is 1649610130, issued by NPPES.