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Organization

SHIPLEY DENTAL INNOVATIONS LLC

Active
Other names
Shipley Dental Innovations
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT EDWARD SHIPLEY (OWNER/DENTIST)
(574) 377-6426
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009310
IN

Other

Enumeration date
02/02/2016
Last updated
02/02/2016
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