Shoopak, Alan David

Shoopak, Alan David is an sole proprietor health care provider with primary practice located at 6311 4Th St N , St Petersburg FL 33702-7511. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Shoopak, Alan David can be contacted via phone (727) 522-5599.

Contact Information

Primary practice address
6311 4Th St N St Petersburg FL 33702-7511
Phone: (727) 522-5599
Fax: (727) 526-1702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN15199 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN9319 Florida

Profile Details

NPI number 1205974458
LBN Legal business name Shoopak, Alan David
Credentials D.M.D.,P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Oct 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205974458 NPPES
Massachusetts MEDICAID 110010278A
Massachusetts MEDICAID 075690300

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