John Shank, DDS

NPI 1154349439 · on the registry since 2006

Practice

Address: 2121 E Dupont Rd Ste C
Fort Wayne, IN 46825
Phone: (260) 490-2013
Fax: (260) 490-1081
Organisation at this address: George R. Cooper
Jesse Blair Dds Llc
Northeast Indiana Orthodontics, Llc
Fort Wayne Oral Maxillofacial Surgery & Implant Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana