James A Shupe Dds, Dentistry For Children, Inc
Pediatric Dental Clinic
3030 Lake Ave, Suite 15, Fort Wayne
Indiana, 46805-5428
260-422-8419 260-422-3591
Maps & DirectionsJames A Shupe Dds, Dentistry For Children, Inc is a Pediatric Dental Clinic in Fort Wayne, Indiana. It is located at 3030 Lake Ave, Suite 15, Fort Wayne, IN and its contact number is 260-422-8419. The authorized person for James A Shupe Dds, Dentistry For Children, Inc is James A Shupe Jr.
who is President of the clinic and their contact number is 260-422-8419. The primary license number for James A Shupe Dds, Dentistry For Children, Inc is 54000026A (Pediatric Dentistry) in Indiana.
James A Shupe Dds, Dentistry For Children, Inc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
James A Shupe Dds, Dentistry For Children, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | James A Shupe Dds, Dentistry For Children, Inc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 3030 Lake Ave, Suite 15, Fort Wayne, Indiana, 46805-5428 |
| Phone: | 260-422-8419 |
| Fax: | 260-422-3591 |
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: | James A Shupe Jr. |
| Position: | President |
| Contact Number: | 260-422-8419 |
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 James A Shupe Dds, Dentistry For Children, Inc clinic are as mentioned below.
| NPI Number: | 1124127832 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James A Shupe Dds, Dentistry For Children, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 54000026A | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | James A Shupe Dds, Dentistry For Children, Inc 3030 Lake Ave, Suite 15 Fort Wayne, Indiana |
| Zip: | 46805-5428 |
| Phone Number: | 260-422-8419 |
| Fax Number: | 260-422-3591 |
Patients can reach James A Shupe Dds, Dentistry For Children, Inc at
3030 Lake Ave, Suite 15, Fort Wayne, Indiana or can
call to book an appointment on 260-422-8419.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.