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Organization

JEFFREY J. SHAMBAUGH DMD PC

Active
Other names
Shambaugh Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY JOSEPH SHAMBAUGH DMD (DENTIST/OWNER)
(260) 493-2432
Entity
Organization

Contact information

Practice address
4341 FLAGSTAFF CV, FORT WAYNE, IN 46815-4400
(260) 493-2432
(260) 492-2942
Mailing address
4341 FLAGSTAFF CV, FORT WAYNE, IN 46815-4400
(260) 493-2432
(260) 492-2942

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010642A
IN
1223G0001X
General Practice Dentistry
12011943A
IN

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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