Jeffrey J. Shambaugh DMD PC
Jeffrey J. Shambaugh DMD PC is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2015.
- Licensed in
- IN
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4341 Flagstaff CvFort Wayne, IN 46815-4400
Phone: (260) 493-2432
Fax: (260) 492-2942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12010642A (IN) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 12011943A (IN) |
Record details
| NPI number | 1568838225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Shambaugh — Dentist/Owner · (260) 493-2432 |
| Other names | Shambaugh Dental Group |
| NPI enumerated | August 18, 2015 |
| Last updated in NPPES | August 18, 2015 |
| Mailing address | 4341 Flagstaff Cv, Fort Wayne, IN 46815-4400 |
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