Individual provider · Type 1 NPI
Timothy J. Shambaugh, DDS
Oral and Maxillofacial Surgery (Dentist) · Fort Wayne, IN
NPI number
1124038260
Active
Practice location
4606 D East State Blvd
Fort Wayne, IN 46815-6963
Fax (260) 422-5342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 127177 (IN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Fort Wayne
- John Jacob Shank, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1154349439
- Emma Marie Meyer, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1326539362
- John E. Buhler JR, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1376553412
- James Terrence O'Neill, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1376701045
- Robert L. Reifeis Jr., DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1437179140
- David G. Bojrab, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1487664512
- Robert E. Braun, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1649290354
- Josiah Michael Smith, DDSOral and Maxillofacial Surgery (Dentist) Fort Wayne, IN NPI 1700347168
About NPI 1124038260
Timothy J. Shambaugh, DDS's National Provider Identifier is 1124038260, issued on Aug 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 1, 2008.