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

Dr. Randolph Ken Shoup, DDS

Individual provider General Practice Dentistry · NPI 1295741577

Dr. Randolph Ken Shoup, DDS is a General Practice Dentistry in Noblesville, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

14297 Bergen Blvd # 100
Noblesville, IN 46060-3358
Phone: (317) 776-1100
Fax: (317) 776-1129
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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 12008036A (IN)

Record details

NPI number1295741577
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 22, 2008
Mailing address14297 Bergen Blvd # 100, Noblesville, IN 46060-3358

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