John Jacob Shank is a Fort Wayne, Indiana based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of John Jacob Shank is 12009584 for Oral and Maxillofacial Surgery in Indiana. His current practice location is 2121 E Dupont Rd Ste C, Fort Wayne. Patients can reach him at 260-490-2013.
John Jacob Shank deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
John Jacob Shank speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
John Jacob Shank
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2121 E Dupont Rd Ste C, Fort Wayne, Indiana, 46825-1546
Phone:
260-490-2013
Fax:
260-490-1081
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 are as mentioned below.
NPI Number:
1154349439
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
27 Jan, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Jacob Shank are as mentioned below.
License Number
Specialization
State
Status
12009584
Oral and Maxillofacial Surgery
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with John Jacob Shank such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000214282
Other
BLUE CROSS BLUE SHIELD
190009098
Other
RAILROAD MEDICARE
200169990A
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:
2121 E Dupont Rd Ste C, Fort Wayne, Indiana
Zip:
46825-1546
Phone Number:
260-490-2013
Fax Number:
260-490-1081
Patients can reach John Jacob Shank at 2121 E Dupont Rd Ste C, Fort Wayne, Indiana or can call to book an appointment on 260-490-2013. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.