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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891942165. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$38
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ultradent Products Inc 1 $37.50

By nature of payment

Food and Beverage
$38