Individual
DR. JAMES THOMAS SHOPTAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 W CENTRAL TEXAS EXPY STE 200, HARKER HEIGHTS, TX 76548-7406
(254) 699-4543
(254) 699-4538
Mailing address
2305 MARLANDWOOD RD, TEMPLE, TX 76502-2846
(254) 699-4543
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111273202
—
TX
01
—
556122
UNITED CONCORDIA
TX
Enumeration date
09/20/2006
Last updated
01/24/2012
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