Doctor profile · Federal record
Dr. Randall Shaw, D.D.S.,M.S.
Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Southfield, MI
- NPI 1891942165
- 18 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
18860 W 10 Mile RD
Southfield, MI 480752666
(248) 565-3331 - Additional location
-
33627 7 Mile RD
Livonia, MI 481523077
(248) 471-1555
fax (248) 471-4146 - Mailing address
-
350 Pine Ridge Dr
Bloomfield Hills, MI 483042139
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- November 24, 2020
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Michigan #29010.013819 · Michigan #13819
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891942165. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$38
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $37.50 |
By nature of payment
Frequently asked questions
What is Dr. Randall Shaw's medical specialty?
Dr. Randall Shaw practices Orthodontics and Dentofacial Orthopedic Dentist in Southfield, MI.
Where does Dr. Randall Shaw practice?
Dr. Randall Shaw practices at 18860 W 10 Mile RD, Southfield, MI 480752666. Office phone: 2485653331.
What is Dr. Randall Shaw's NPI?
Dr. Randall Shaw's National Provider Identifier (NPI) is 1891942165, issued by NPPES.