Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James a Shupe DDS, Dentistry for Children, Inc

Organization Pediatric Dentistry · NPI 1124127832

James a Shupe DDS, Dentistry for Children, Inc provides Pediatric Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (260) 422-8419
Fax: (260) 422-3591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 54000026A (IN)

Record details

NPI number1124127832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Shupe — President · (260) 422-8419
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428

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