Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Maximilian James Shumake, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457930836

Dr. Maximilian James Shumake, DMD is a Student in an Organized Health Care Education/Training Program in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10615 N Hayden Rd Ste C-104
Scottsdale, AZ 85260-5734
Phone: (480) 905-7171
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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 D011530 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457930836
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 5, 2021
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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