Dr. Kim Leslie Shaw, DDS
Dentist, General Practice in Lakewood Ranch, FL. Individual provider (NPI-1).
NPI number1457553265
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1457553265
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kim Leslie Shaw
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2007
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN12463 | FL | Yes |
Practice location
9105 Town Center PkwyLakewood Ranch, FL 34202-5141
Phone 941-538-6064 · Fax 941-538-6064
Mailing address
Po Box 14249Bradenton, FL 34280-4249
Phone 941-224-0698
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All 23 General Practice Dentistry providers in Lakewood Ranch · All 1,061 providers in Lakewood Ranch
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