Alan David Shoopak in St Petersburg - Orthodontics And Dentofacial Orthopedics
Alan David Shoopak - NPI 1205974458
Alan David Shoopak is a Orthodontics And Dentofacial Orthopedics in St Petersburg, Florida. Alan David Shoopak practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Alan David Shoopak is 1205974458. The last update date is 2017-10-06.
Alan David Shoopak's current location address is 6311 4th St N, St Petersburg, Florida. You can contact this provider via phone number 7275225599. The mailing address for Alan David Shoopak is 6311 4th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alan David Shoopak |
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Address | 6311 4th St N, St Petersburg, Florida |
Phone Number | 7275225599 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.M.D.,P.A |
NPI Number Detail
NPI Number | 1205974458 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2017-10-06 |
Provider Mailing Address Detail
Address | 6311 4th St N |
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City | St Petersburg |
State | Florida (FL) |
Post Code | 337027511 |
Phone Number | 7275225599 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | DN15199 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110010278A | MA | -- | |
75690300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Alan David Shoopak by the Centers for Medicare & Medicaid Services?
The Alan David Shoopak has been issued the NPI (National Provider Identifier) 1205974458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Alan David Shoopak?
The Alan David Shoopak is situated at 6311 4Th St N, in the city of St Petersburg, state of FL, with the zip code 337027511.
What is the area of specialization for Alan David Shoopak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alan David Shoopak is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date was the 1205974458 assigned to Alan David Shoopak?
The Alan David Shoopak was issued its 1205974458 on 2007-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Alan David Shoopak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alan David Shoopak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-06.
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