Organization · Type 2 NPI

Alan D Shoopak DMD Orthodontic Group IV LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Sebastian, FL

NPI number 1174658165 Active

Practice location

701 Sebastian Blvd, Ste. B
Sebastian, FL 32958-4379

Fax (772) 388-2038

Mailing address

6311 4th St N
St. Petersburg, FL 33702-7511

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1174658165

Alan D Shoopak DMD Orthodontic Group IV LLC's National Provider Identifier is 1174658165, issued on Feb 22, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sebastian, FL. The record was last updated on Oct 16, 2015.