Randolph Ken Shoup in Noblesville - General Practice
Randolph Ken Shoup - NPI 1295741577
Randolph Ken Shoup is a General Practice in Noblesville, Indiana. Randolph Ken Shoup practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randolph Ken Shoup is 1295741577. The last update date is 2008-10-22.
Randolph Ken Shoup's current location address is 14297 Bergen Blvd # 100, Noblesville, Indiana. You can contact this provider via phone number 3177761100 and fax number 3177761129. The mailing address for Randolph Ken Shoup is 14297 Bergen Blvd # 100, Noblesville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Ken Shoup |
|---|---|
| Address | 14297 Bergen Blvd # 100, Noblesville, Indiana |
| Phone Number | 3177761100 |
| Fax Number | 3177761129 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1295741577 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2008-10-22 |
Provider Mailing Address Detail
| Address | 14297 Bergen Blvd # 100 |
|---|---|
| City | Noblesville |
| State | Indiana (IN) |
| Post Code | 460603358 |
| Phone Number | 3177761100 |
| Fax Number | 3177761129 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12008036A |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Randolph Ken Shoup by the Centers for Medicare & Medicaid Services?
The Randolph Ken Shoup has been issued the NPI (National Provider Identifier) 1295741577 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Randolph Ken Shoup is physically located?
The Randolph Ken Shoup is physically situated at the following address: 14297 Bergen Blvd # 100, Noblesville, IN, 460603358.
What is Randolph Ken Shoup's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randolph Ken Shoup is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When was the Randolph Ken Shoup's 1295741577 issued?
The Randolph Ken Shoup's 1295741577 was issued on 2006-07-31.
When was the information regarding Randolph Ken Shoup most recently updated?
The details pertaining to the Randolph Ken Shoup, including its address, specialty, and other relevant information, were last refreshed on 2008-10-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA