James A. Shupe Jr., DDS

Pediatric Dentistry · Fort Wayne, IN

Individual Active NPI

NPI number 1013016823

Practice location

3030 Lake Ave
Suite 15
Fort Wayne, IN 46805-5428
Phone
(260) 422-8419
Fax
(260) 422-3591

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NPI record

NPI
1013016823
Entity type
Individual (Type 1)
Enumeration date
September 21, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 12008822A IN

About Dr. Shupe

James A. Shupe Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428. The NPI number 1013016823 was assigned on September 21, 2006 and the record was last updated on July 8, 2007.

Dr. Shupe lists a license in the registry: #12008822A (IN) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James A. Shupe Jr., DDS?

The NPI number is 1013016823.

What is the phone number of Dr. Shupe?

The phone number listed for the practice location is (260) 422-8419.

Where is Dr. Shupe located?

3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428.

What is the taxonomy code for Dr. Shupe?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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