Shoptaw, James Thomas

Shoptaw, James Thomas is an individual health care provider with primary practice located at 120 W Central Texas Expy Ste 200 , Harker Heights TX 76548-7406. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shoptaw, James Thomas can be contacted via phone (254) 699-4543.

Contact Information

Primary practice address
120 W Central Texas Expy Ste 200 Harker Heights TX 76548-7406
Phone: (254) 699-4543
Fax: (254) 699-4538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 10353 Texas

Profile Details

NPI number 1326145467
LBN Legal business name Shoptaw, James Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 24th, 2012 - about 12 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 1326145467 NPPES
Texas Other 556122 UNITED CONCORDIA
Texas MEDICAID 111273202 UNITED CONCORDIA

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