Search › Indiana › 1223G0001X
Michael Shambaugh, DDS
NPI 1699980607 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1320 Medical Park Dr
Fort Wayne, IN 46825 - Phone
- (260) 484-7919
- Fax
- (260) 484-5259
- Organisation at this address
- Steven B Lee, Dds, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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