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Dr. Timothy J Shambaugh, DDS
Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana
NPI 1124038260

Timothy J Shambaugh is a Oral and Maxillofacial Surgery (Dentist) based in Fort Wayne, IN and is specialized in Oral and Maxillofacial Surgery. Timothy J Shambaugh practices in Fort Wayne, IN and has the professional credentials of DDS. The NPI Number for Timothy J Shambaugh is 1124038260 and holds a License No. 127177 (Indiana).

The current practice location address for Timothy J Shambaugh is 4606 D East State Blvd, Fort Wayne, IN and can be reached out via phone at 260-423-2340 and via fax at 260-422-5342. You can also correspond with Timothy J Shambaugh through the mailing address at 4606 D EAST STATE BLVD, FORT WAYNE, IN - 46815-6963 (mailing address contact number: 260-423-2340).

Location: 4606 D East State Blvd, Fort Wayne, IN, 46815-6963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124038260
Provider Name
Timothy J Shambaugh
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4606 D East State Blvd, Fort Wayne, IN, 46815-6963
Phone Number
260-423-2340
Fax Number
260-422-5342
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200029030 05 IN
institution
Provider Business Practice Location Address Details
Address
4606 D East State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6963
Phone Number
260-423-2340
Fax Number
260-422-5342
person
Provider Business Mailing Address Details
Address
4606 D East State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6963
Phone Number
260-423-2340
Fax Number
260-422-5342
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
127177 (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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