Individual
DR. ALAN DAVID SHOOPAK
Active
Individual
DR. ALAN DAVID SHOOPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,P.A.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN15199
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN9319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075690300
—
FL
05
—
110010278A
—
MA
Enumeration date
02/01/2007
Last updated
10/06/2017
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