DR. Randolph Ken Shoup, DDS is a general practice dentist in Noblesville, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Randolph Ken Shoup, DDS NPI is 1295741577. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14297 BERGEN BLVD # 100 NOBLESVILLE, IN ZIP 46060-358 Phone: (317) 776-1100 Fax: (317) 776-1129
The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/22/2008.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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