Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James a Shupe DDS, Dentistry for Children, Inc

Organization Pediatric Dentistry · NPI 1124127832

James a Shupe DDS, Dentistry for Children, Inc is a Pediatric Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (260) 422-8419
Fax: (260) 422-3591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 54000026A (IN)

Record details

NPI number1124127832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Shupe — President · (260) 422-8419
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428

Other providers in Fort Wayne