IndividualActive
Justin Shaw, DMD
NPI 1558055525 · Dentist · Sikeston, MO
Justin Shaw, DMD is a Dentist provider in Sikeston, MO (NPI 1558055525).
Provider details
- NPI number
- 1558055525
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2025035974 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 Southland Dr
Sikeston, MO 63801-4403
Phone: (573) 471-4167
Fax: (573) 471-4212
Street-level locationGet directions
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Justin Shaw's NPI number?
- Justin Shaw's National Provider Identifier (NPI) is 1558055525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Shaw's specialty?
- Justin Shaw is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Justin Shaw located?
- Justin Shaw's practice location on file with NPPES is 220 Southland Dr, Sikeston, MO 63801-4403.
- What is Justin Shaw's phone number?
- The practice phone number listed in the NPPES registry for Justin Shaw is (573) 471-4167.
- Is Justin Shaw's NPI active?
- Yes — Justin Shaw's NPI (1558055525) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.