Individual provider · Type 1 NPI

Randolph Ken Shoup, DDS

General Practice Dentistry · Noblesville, IN

NPI number 1295741577 Active

Practice location

14297 Bergen Blvd # 100
Noblesville, IN 46060-3358

Call (317) 776-1100 Map

Fax (317) 776-1129

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12008036A (IN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1295741577

Randolph Ken Shoup, DDS's National Provider Identifier is 1295741577, issued on Jul 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Noblesville, IN. The record was last updated on Oct 22, 2008.