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Dr. Raymond Patrick Shupak, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Fort Worth, Texas
NPI 1962798462

Raymond Patrick Shupak is a Oral and Maxillofacial Surgery (Dentist) based in Fort Worth, TX and is specialized in Oral and Maxillofacial Surgery. Raymond Patrick Shupak practices in Fort Worth, TX and has the professional credentials of DMD,MD. The NPI Number for Raymond Patrick Shupak is 1962798462 and holds a License No. DS038719 (Texas).

The current practice location address for Raymond Patrick Shupak is 1500 South Main Street Jps Hospital, Fort Worth, TX and can be reached out via phone at 817-702-5595.

Location: 1500 South Main Street Jps Hospital, Fort Worth, TX, 76104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962798462
Provider Name
Raymond Patrick Shupak
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
1500 South Main Street Jps Hospital, Fort Worth, TX, 76104
Phone Number
817-702-5595
Fax Number
Provider Enumeration Date
06/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1029564820001 05 PA
institution
Provider Business Practice Location Address Details
Address
1500 South Main Street Jps Hospital
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-702-5595
Fax Number
person
Provider Business Mailing Address Details
Address
1500 South Main Street Jps Hospital
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-702-5595
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
S4567 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
DS038719 (Pennsylvania)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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