DR. Raymond Patrick Shupak, DMD, MD is an oral and maxillofacial surgery dentist in Fort Worth, TX with 13 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Raymond Patrick Shupak, DMD, MD NPI is 1962798462. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduation Year:2011
The provider's business location address is:
1500 SOUTH MAIN STREET JPS HOSPITAL
DEPT OF OMFS
FORT WORTH, TX
ZIP 76104
Phone: (817) 702-5595
The NPI 1962798462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/22/2011 and was last updated on 5/24/2021.