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

DR. SHAD DEMAR ROUNDY, DMD

Active

DR. SHAD DEMAR ROUNDY, DMD is a Oral & Maxillofacial Surgery healthcare provider located in ANDERSON, Indiana. NPI 1164492104 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · ANDERSON, IN

Registration Details

NPI Number
1164492104
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2006 (20.593225717769 yrs)
Last Updated
Mar 7, 2023
Licenses
173 (AK)
12012276A (IN)
12012276B (IN)

Practice Information

Address
1601 MEDICAL ARTS BLVD STE 301
ANDERSON, IN, 460113460
Browse IN providers · Browse ZIP 46011
Phone
7652984400
Fax
7652984940
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in ANDERSON, IN

Name Credential NPI
DR. HOWARD HANCOCK MOHLER DDS 1689653834
CHRIS D KINNEY DDS 1003978586
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.