IndividualActive
Mikaela Shaw, DDS
NPI 1144968454 · General Practice Dentistry · Central City, NE
Provider details
- NPI number
- 1144968454
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7818 (NE)
Specialties & taxonomies
Dental Providers
Practice location
2602 18th Ave
Central City, NE 68826-9761
Phone: (308) 946-3059
Approximate (ZIP-level) locationGet directions
Mailing address
702 8th St
Edgar, NE 68935-3116
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.