Alan D Shoopak Dmd Orthodontic Group Ix, Llc in Orange Park - Orthodontics And Dentofacial Orthopedics
Alan D Shoopak Dmd Orthodontic Group Ix, Llc - NPI 1023143922
Alan D Shoopak Dmd Orthodontic Group Ix, Llc is a Orthodontics And Dentofacial Orthopedics in Orange Park, Florida. Alan D Shoopak Dmd Orthodontic Group Ix, Llc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Alan D Shoopak Dmd Orthodontic Group Ix, Llc is 1023143922. The last update date is 2015-10-16.
Alan D Shoopak Dmd Orthodontic Group Ix, Llc's current location address is 1670 Eagle Harbor Pkwy, Orange Park, Florida. You can contact this provider via phone number 9042641555 and fax number 9042641525. The mailing address for Alan D Shoopak Dmd Orthodontic Group Ix, Llc is 1670 Eagle Harbor Pkwy, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alan D Shoopak Dmd Orthodontic Group Ix, Llc |
|---|---|
| Address | 1670 Eagle Harbor Pkwy, Orange Park, Florida |
| Phone Number | 9042641555 |
| Fax Number | 9042641525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shoopak D. Alan |
| Telephone Number | 7275225599 |
NPI Number Detail
| NPI Number | 1023143922 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2015-10-16 |
Provider Mailing Address Detail
| Address | 1670 Eagle Harbor Pkwy |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320034806 |
| Phone Number | 9042641555 |
| Fax Number | 9042641525 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identifier code issued to Alan D Shoopak Dmd Orthodontic Group Ix, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Alan D Shoopak Dmd Orthodontic Group Ix, Llc has been assigned the NPI (National Provider Identifier) 1023143922. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Alan D Shoopak Dmd Orthodontic Group Ix, Llc is physically located?
The Alan D Shoopak Dmd Orthodontic Group Ix, Llc is physically situated at the following address: 1670 Eagle Harbor Pkwy, Orange Park, FL, 320034806.
What is the area of specialization for Alan D Shoopak Dmd Orthodontic Group Ix, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alan D Shoopak Dmd Orthodontic Group Ix, Llc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023143922 to Alan D Shoopak Dmd Orthodontic Group Ix, Llc?
The Centers for Medicare & Medicaid Services assigned the 1023143922 to Alan D Shoopak Dmd Orthodontic Group Ix, Llc on 2007-02-22.
As of what date were the details related to Alan D Shoopak Dmd Orthodontic Group Ix, Llc most recently updated or revised?
The information pertaining to Alan D Shoopak Dmd Orthodontic Group Ix, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-16.
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