Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH KEN SHOUP, DDS
Active Sole ProprietorDR. RANDOLPH KEN SHOUP, DDS is a General Dentistry healthcare provider located in NOBLESVILLE, Indiana. NPI 1295741577 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NOBLESVILLE, IN
Registration Details
- NPI Number
- 1295741577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.030782720759 yrs)
- Last Updated
- Oct 22, 2008
- License
-
12008036A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14297 BERGEN BLVD # 100NOBLESVILLE, IN, 460603358Browse IN providers · Browse ZIP 46060
- Phone
- 3177761100
- Fax
- 3177761129
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in NOBLESVILLE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KIM I DUNBAR | DDS | 1215932595 |
| DR. DANIELA JEANETTE LAWSON | DDS | 1669421582 |
| DR. WILLIAM K. SHONK | D.D.S. | 1538110150 |
| DR. RANDALL L GRIFFIN | DDS | 1629099916 |
| DANIEL A. MCGRATH | D.D.S. | 1114933645 |
| DR. KARA LEEANN FRIEDMAN | D.D.S | 1235220484 |
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.