Individual provider · Type 1 NPI

James A. Shupe Jr., DDS

Pediatric Dentistry · Fort Wayne, IN

NPI number 1013016823 Active

Practice location

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

Fax (260) 422-3591

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12008822A (IN)

Pediatric Dentistry: 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.

19 other providers at this address

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About NPI 1013016823

James A. Shupe Jr., DDS's National Provider Identifier is 1013016823, issued on Sep 21, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.