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Search › Indiana › General Practice Dentistry

Randolph Shoup, DDS

NPI 1295741577 · on the registry since 2006 · sole proprietor

Practice

Address
14297 Bergen Blvd # 100
Noblesville, IN 46060
Phone
(317) 776-1100
Fax
(317) 776-1129

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-22

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