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

Dr. Shad Demar Roundy, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1164492104

Dr. Shad Demar Roundy, DMD is an Oral and Maxillofacial Surgery (Dentist) in Anderson, Indiana. Licensed in Alaska and Indiana. Registered with an NPI since 2006.

Licensed in
AK, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Medical Arts Blvd Ste 301
Anderson, IN 46011-3460
Phone: (765) 298-4400
Fax: (765) 298-4940
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12012276A (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 173 (AK)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12012276B (IN)

Record details

NPI number1164492104
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESMarch 7, 2023

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