Organization
ALAN D. SHOOPAK, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DAVID SHOOPAK (OWNER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
10083 US HIGHWAY 19, PORT RICHEY, FL 34668-3742
(813) 388-8452
(813) 315-6768
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(813) 315-6768
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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