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Dr. Shad Demar Roundy, DMD
Oral and Maxillofacial Surgery (Dentist) in Anderson, Indiana
NPI 1164492104

Shad Demar Roundy is a Oral and Maxillofacial Surgery (Dentist) based in Anderson, IN and is specialized in Oral and Maxillofacial Surgery. Shad Demar Roundy practices in Anderson, IN and has the professional credentials of DMD. The NPI Number for Shad Demar Roundy is 1164492104 and holds a License No. 173 (Indiana).

The current practice location address for Shad Demar Roundy is 1601 Medical Arts Blvd Ste 301, Anderson, IN and can be reached out via phone at 765-298-4400 and via fax at 765-298-4940.

Location: 1601 Medical Arts Blvd Ste 301, Anderson, IN, 46011-3460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164492104
Provider Name
Shad Demar Roundy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1601 Medical Arts Blvd Ste 301, Anderson, IN, 46011-3460
Phone Number
765-298-4400
Fax Number
765-298-4940
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD0083 05 AK
institution
Provider Business Practice Location Address Details
Address
1601 Medical Arts Blvd Ste 301
City
Anderson
State
Indiana
Zip
46011-3460
Phone Number
765-298-4400
Fax Number
765-298-4940
person
Provider Business Mailing Address Details
Address
1601 Medical Arts Blvd Ste 301
City
Anderson
State
Indiana
Zip
46011-3460
Phone Number
765-298-4400
Fax Number
765-298-4940
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
173 (Alaska)
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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