| Shipley Dental Innovations Llc | |
|
1904 E Center St Warsaw IN 46580-3701 | |
| (574) 376-4244 | |
| (574) 306-2711 |
| Full Name | Shipley Dental Innovations Llc |
|---|---|
| Speciality | Dentist |
| Location | 1904 E Center St, Warsaw, Indiana |
| Authorized Official Name and Position | Scott Edward Shipley (OWNER/DENTIST) |
| Authorized Official Contact | 5743776426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shipley Dental Innovations Llc 1904 E Center St Warsaw IN 46580-3701 Ph: (574) 376-4244 | Shipley Dental Innovations Llc 1904 E Center St Warsaw IN 46580-3701 Ph: (574) 376-4244 |
| NPI Number | 1114385473 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009310 (Indiana) | Primary |
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