James A Shupe in Fort Wayne - Pediatric Dentistry
James A Shupe - NPI 1013016823
James A Shupe is a Pediatric Dentistry in Fort Wayne, Indiana. James A Shupe practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for James A Shupe is 1013016823. The last update date is 2007-07-08.
James A Shupe's current location address is 3030 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604228419 and fax number 2604223591. The mailing address for James A Shupe is 3030 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James A Shupe |
|---|---|
| Address | 3030 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604228419 |
| Fax Number | 2604223591 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013016823 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3030 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055428 |
| Phone Number | 2604228419 |
| Fax Number | 2604223591 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12008822A |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to James A Shupe?
The James A Shupe has been issued the NPI (National Provider Identifier) 1013016823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where James A Shupe is physically located?
The James A Shupe is physically situated at the following address: 3030 Lake Ave, Fort Wayne, IN, 468055428.
What is James A Shupe's area of expertise and its corresponding taxonomy classification?
The James A Shupe's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1013016823 to James A Shupe?
The Centers for Medicare & Medicaid Services assigned the 1013016823 to James A Shupe on 2006-09-21.
As of what date were the James A Shupe's details last updated?
The information pertaining to the James A Shupe, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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