Organization · Type 2 NPI

Alan D. Shoopak D.m.d. ,p.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Bradenton, FL

NPI number 1942345160 Active

Practice location

3611 1st St Ste 530
Bradenton, FL 34208-4423

Fax (941) 741-2555

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
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 1942345160

Alan D. Shoopak D.m.d. ,p.a.'s National Provider Identifier is 1942345160, issued on Feb 21, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bradenton, FL. The record was last updated on Oct 11, 2017.