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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES A SHUPE JR., DDS

Active

JAMES A SHUPE JR., DDS is a Pediatric Dentistry healthcare provider located in FORT WAYNE, Indiana. NPI 1013016823 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · FORT WAYNE, IN

Registration Details

NPI Number
1013016823
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.916462946682 yrs)
Last Updated
Jul 8, 2007
License
12008822A (IN)

Practice Information

Address
3030 LAKE AVE
SUITE 15
FORT WAYNE, IN, 468055428
Browse IN providers · Browse ZIP 46805
Phone
2604228419
Fax
2604223591
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in FORT WAYNE, IN

Name Credential NPI
DR. WAYNE LEE DAWES DDS 1407860216
DR. ANDREW STEVEN HOBBS DDS 1851305239
DR. TIMOTHY R OLINGER DDS 1619059557
DR. KEVIN HARRINGTON LUDWIG D.D.S. 1982966255
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.