Shane T Cope Llc
Dental Clinic | Clinic/center
4921 State Road 26 E, Suite 100, Lafayette
Indiana, 47905-4608
765-807-0592 765-269-7696
Maps & DirectionsShane T Cope Llc is a Clinic/center (Dental) Clinic in Lafayette, Indiana. It is located at 4921 State Road 26 E, Suite 100, Lafayette, IN and its contact number is 765-807-0592. The authorized person for Shane T Cope Llc is Dr. Shane T Cope
who is Owner of the clinic and their contact number is 765-807-0592.
Shane T Cope Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Shane T Cope Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shane T Cope Llc |
| Specialization: | Dental, Clinic/center |
| Clinic Address: | 4921 State Road 26 E, Suite 100, Lafayette,
Indiana, 47905-4608 |
| Phone: | 765-807-0592 |
| Fax: | 765-269-7696 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shane T Cope |
| Position: | Owner |
| Contact Number: | 765-807-0592 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shane T Cope Llc clinic are as mentioned below.
| NPI Number: | 1750724613 |
| NPI Enumeration Date: | 10 Apr, 2013 |
| NPI Last Update On: | 11 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane T Cope Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| Dental | 12011052A | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200880660 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shane T Cope Llc
4921 State Road 26 East, Suite 100
Lafayette, Indiana |
| Zip: | 47905-4616 |
| Phone Number: | 765-807-0592 |
| Fax Number: | 765-269-7696 |
Patients can reach Shane T Cope Llc at
4921 State Road 26 E, Suite 100, Lafayette, Indiana or can
call to book an appointment on 765-807-0592.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.