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 |