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
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
Provider Enumeration Date 2007-02-01
Last Updated Date 2017-10-06

Provider Mailing Address Detail

Address 6311 4th St N
City St Petersburg
State Florida (FL)
Post Code 337027511
Phone Number 7275225599
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
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 --

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FAQs about Alan David Shoopak

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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