DR. Timothy J Shambaugh, DDS

NPI #1124038260 in Fort Wayne, Indiana

Provider Information

NPI Number
1124038260
Entity Type
Individual
Name
DR. Timothy J Shambaugh, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Aug 9, 2006
Last Updated
Jul 1, 2008

Practice Location

Address
4606 D EAST STATE BLVD
State
Indiana
ZIP Code
46815-6963
Phone
(260) 423-2340

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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