Individual provider · Type 1 NPI

Raymond Patrick Shupak, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX

NPI number 1962798462 Active

Practice location

1500 South Main Street Jps Hospital, Dept Of Omfs
Fort Worth, TX 76104

Call (817) 702-5595 Map

Other practice locations

  • 3501 Terrace St, Pittsburgh, PA 15213-2523 · (973) 534-3775
  • 3501 Terrace Street, Suite 3189, Pittsburgh, PA 15261 · (412) 648-9100

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDS038719 (PA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XS4567 (TX)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XMD461668 (PA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X35670 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1962798462

Raymond Patrick Shupak, DMD, MD's National Provider Identifier is 1962798462, issued on Jun 22, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Worth, TX. The record was last updated on May 24, 2021.