Dr. Shane Travis Cope, D.D.S.
Dentist, General Practice in Indianapolis, IN. Individual provider (NPI-1).
NPI number1386830503
StatusActive
Last updated in NPPESSep 20, 2007
Details
- NPI
- 1386830503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Travis Cope
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Sep 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12011052A | IN | Yes |
Practice location
4604 E 10th StIndianapolis, IN 46201-2824
Phone 317-353-8505
Mailing address
4604 E 10th StIndianapolis, IN 46201-2824
Phone 317-353-8505
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