James A Shupe JR.
Pediatric Dentist
3030 Lake Ave Suite 15
Fort Wayne
, Indiana 46805-5428
James A Shupe JR.
Pediatric Dentist
3030 Lake Ave Suite 15
Fort Wayne
, Indiana 46805-5428
(260) 422-3591
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- James A Shupe JR.
- 3030 Lake Ave Suite 15
- Fort Wayne, IN
- Zip : 46805-5428
- Fax : (260) 422-3591
- Phone : (260) 422-8419
Second Address
- James A Shupe JR.
- 3030 Lake Ave Suite 15
- Fort Wayne, IN
- Zip : 46805-5428
- Fax : (260) 422-3591
- Phone : (260) 422-8419
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What type of doctor is James A Shupe JR.
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Is James A Shupe JR. a sole practitioner?
Is James A Shupe JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 12008822A | IN |
National Provider Identifier
| NPI | 1013016823 |
|---|---|
| Provider Name | James A Shupe JR. |
| First Address | Fort Wayne, IN 46805-5428 |
| Second Address | Fort Wayne, IN 46805-5428 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.