Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAYMOND PATRICK SHUPAK, DMD, MD
ActiveDR. RAYMOND PATRICK SHUPAK, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in FORT WORTH, Texas. NPI 1962798462 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT WORTH, TX
Registration Details
- NPI Number
- 1962798462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2011 (15.102880344888 yrs)
- Last Updated
- May 24, 2021
- Licenses
-
DS038719 (PA)S4567 (TX)MD461668 (PA)35670 (TX)
Practice Information
- Address
-
1500 SOUTH MAIN STREET JPS HOSPITALDEPT OF OMFSFORT WORTH, TX, 76104Browse TX providers · Browse ZIP 76104
- Phone
- 8177025595
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY WILSON SPRADLEY | D.D.S., M.S. | 1386637536 |
| DR. DAVID EDWARD PARMER | D.D.S., M.D. | 1356334502 |
| DR. MAX GREGORY NEILL | DDS | 1538156658 |
| DR. JOSEPH CARL CECERE | DMD | 1508805516 |
| DR. GREGORY BLAINE SCHEIDEMAN | DDS | 1225070030 |
| WILLIAM FRANCIS RUNYON JR. | DDS | 1215963277 |
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.