James A Shupe Dds, Dentistry For Children, Inc in Fort Wayne - Pediatric Dentistry
James A Shupe Dds, Dentistry For Children, Inc - NPI 1124127832
James A Shupe Dds, Dentistry For Children, Inc is a Pediatric Dentistry in Fort Wayne, Indiana. James A Shupe Dds, Dentistry For Children, Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for James A Shupe Dds, Dentistry For Children, Inc is 1124127832. The last update date is 2020-08-22.
James A Shupe Dds, Dentistry For Children, Inc'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 Dds, Dentistry For Children, Inc is 3030 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James A Shupe Dds, Dentistry For Children, Inc |
|---|---|
| Address | 3030 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604228419 |
| Fax Number | 2604223591 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shupe A James |
| Credentials | DDS |
| Telephone Number | 2604228419 |
NPI Number Detail
| NPI Number | 1124127832 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-08-22 |
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 | 54000026A |
|
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to James A Shupe Dds, Dentistry For Children, Inc by the Centers for Medicare & Medicaid Services?
The James A Shupe Dds, Dentistry For Children, Inc has been assigned the NPI (National Provider Identifier) 1124127832. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James A Shupe Dds, Dentistry For Children, Inc's facilities are geographically located?
The facilities of James A Shupe Dds, Dentistry For Children, Inc are physically situated at the following location: 3030 Lake Ave, Fort Wayne, IN, 468055428.
What is James A Shupe Dds, Dentistry For Children, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James A Shupe Dds, Dentistry For Children, Inc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the James A Shupe Dds, Dentistry For Children, Inc receive the assignment of its 1124127832 from the Centers for Medicare & Medicaid Services?
The James A Shupe Dds, Dentistry For Children, Inc was issued its 1124127832 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information regarding James A Shupe Dds, Dentistry For Children, Inc most recently updated?
The details pertaining to the James A Shupe Dds, Dentistry For Children, Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY