Organization · Type 2 NPI
Alan D. Shoopak, D.m.d., P.a.
Orthodontics and Dentofacial Orthopedics Dentistry · St. Petersburg, FL
Practice location
1701 66th St N
St. Petersburg, FL 33710-5537
Fax (813) 315-6768
Mailing address
6311 4th St N
St. Petersburg, FL 33702-7511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None 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 1407792948
Alan D. Shoopak, D.m.d., P.a.'s National Provider Identifier is 1407792948, issued on Apr 27, 2026. 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 Apr 27, 2026.