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

Dr. Raymond Patrick Shupak, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1962798462

Dr. Raymond Patrick Shupak, DMD, MD is a Maxillofacial Surgery in Fort Worth, Texas. Graduated from Univ of Pennsylvania School of Dental Medicine in 2011, 15 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
15
Trained at
Univ of Pennsylvania School of Dental Medicine
Licensed in
PA, TX
In the registry since
2011
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 S Main Street Jps Hospital Dept OF Omfs
Fort Worth, TX 76104
Phone: (817) 702-5595
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3501 Terrace St, Pittsburgh, PA 15213-2523 — (973) 534-3775
  • 3501 Terrace Street, Pittsburgh, PA 15261 — (412) 648-9100

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 35670 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DS038719 (PA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence S4567 (TX)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence MD461668 (PA)

Record details

NPI number1962798462
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduated 2011 (15 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Worth