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

James A Shupe Jr., DDS

Individual provider Pediatric Dentistry · NPI 1013016823

James A Shupe Jr., DDS is a Pediatric Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

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

3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (260) 422-8419
Fax: (260) 422-3591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12008822A (IN)

Record details

NPI number1013016823
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428

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