Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811080948 Individual Practitioner Male Practitioner

Dr. Jeffrey Joseph Shambaugh , DMD

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Shambaugh, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 4341 FLAGSTAFF CV under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4341 Flagstaff Cv

Fort Wayne, IN 468154400

Telephone 2604932432
Fax 2609699272
Associated Practice Facility / Clinic
🏢 Jeffrey J. Shambaugh Dmd Pc Facility NPI 1568838225

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Fort Wayne, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12010642A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1073189049

Doctor of Dental Surgery

Dr. Ranbir Singh , MD

Internal Medicine

NPI 1134531072

Doctor of Medicine (M.D.)

Anicia Howard , NP

Nurse Practitioner - Family

NPI 1265102305

Nurse Practitioner

Dr. Khurrum Shaikh , MD

Internal Medicine

NPI 1386683068

Doctor of Medicine (M.D.)

Irene Hoover , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1639103153

Nurse Practitioner

Lisa Staley , NP

Nurse Practitioner - Family

NPI 1649719816

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4341 FLAGSTAFF CV, FORT WAYNE, IN 468154400 (Tel: 2604932432)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4341 FLAGSTAFF CV, FORT WAYNE, IN 468154400 (Tel: 2604932432)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY SHAMBAUGH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12010642A in IN)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811080948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4341 Flagstaff Cv

Fort Wayne, IN 468154400

Phone: 2604932432

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.