NPI 1013016823
James a Shupe, DDS
Practice location
- Address
- 3030 Lake Ave Suite 15, Fort Wayne, IN 46805-5428
- Phone
- (260) 422-8419
- Fax
- (260) 422-3591
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1013016823
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.