Individual
SCOTT E SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223G0001X
General Practice Dentistry
Primary
12009310
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351843855
TAX IDENTIFICATION NUMBER
IN
Enumeration date
04/24/2007
Last updated
02/02/2016
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