# SHIPLEY DENTAL INNOVATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shipley Dental Innovations
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114385473
- **Authorized official:** DR. SCOTT EDWARD SHIPLEY (OWNER/DENTIST)
- **Authorized official phone:** (574) 377-6426

## Contact information

- **Practice address:** 1904 E CENTER ST, WARSAW, IN 46580-3701
- **Practice address phone:** (574) 376-4244
- **Practice address fax:** (574) 306-2711
- **Mailing address:** 1904 E CENTER ST, WARSAW, IN 46580-3701
- **Mailing address phone:** (574) 376-4244
- **Mailing address fax:** (574) 306-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009310 | IN | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 02/02/2016