# SHIDELER DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932440898
- **Authorized official:** DR. WILLIAM MARK SHIDELER (DDS)
- **Authorized official phone:** (219) 462-7391

## Contact information

- **Practice address:** 8 N GARFIELD, VALPARAISO, IN 46383-5019
- **Practice address phone:** (219) 462-7391
- **Practice address fax:** (219) 464-0262
- **Mailing address:** 8 N GARFIELD, VALPARAISO, IN 46383-5019
- **Mailing address phone:** (219) 462-7391
- **Mailing address fax:** (219) 464-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007898 | IN | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 03/01/2013