Shipley Dental Innovations LLC

NPI #1114385473 in Warsaw, Indiana

Provider Information

NPI Number: 1114385473
Entity Type: Organization
Organization Name: Shipley Dental Innovations LLC
Primary Specialty: Dentist
Enumeration Date: Feb 2, 2016
Last Updated: Feb 2, 2016

Practice Location

Address: 1904 E CENTER ST
City: Warsaw
State: Indiana
ZIP Code: 46580-3701
Phone: (574) 376-4244

Authorized Official

Name: DR. SCOTT EDWARD SHIPLEY
Title: OWNER/DENTIST
Phone: (574) 377-6426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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