Individual provider · Type 1 NPI

Alan David Shoopak, DMD, P.A.

Orthodontics and Dentofacial Orthopedics Dentistry · St. Petersburg, FL

NPI number 1205974458 Active

Practice location

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

Fax (727) 526-1702

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN15199 (MA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN9319 (FL)

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 1205974458

Alan David Shoopak, DMD, P.A.'s National Provider Identifier is 1205974458, issued on Feb 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 6, 2017.