Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922617752 Individual Practitioner Male Practitioner

Dr. Dmitriy Shpak , DDS

Dentist - General Practice • Cut Off, LA

Professional Overview & Biography Verified Profile Summary

Dr. Dmitriy Shpak, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cut Off, LA. Practice services are available at 14666 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14666 W Main St

Cut Off, LA 703453208

Telephone 9856326188
Associated Practice Facility / Clinic
🏢 Shpak Family Dentistry Llc Facility NPI 1811708548

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cut Off, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Cut Off, LA (1587 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

CMS Verified: 2025-02-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License LA 7126

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 2020024031

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

1 Associated Practitioners
Dr. Rhonda Lorraine , DDS

Dentist - General Practice

NPI 1851507776

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 21, 2025

Registered at 14666 W MAIN ST, CUT OFF, LA 703453208 (Tel: 9856326188)

📍
Updated Business Mailing Address February 21, 2025

Registered at 14666 W MAIN ST, CUT OFF, LA 703453208 (Tel: 9856326188)

📍
Updated Practice Location August 29, 2021

Registered at 12927 STATE LINE RD, KANSAS CITY, MO 641451238 (Tel: 8169427669)

📍
Updated Business Mailing Address August 29, 2021

Registered at 12927 STATE LINE RD, KANSAS CITY, MO 641451238 (Tel: 8169427669)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2021

Dentist (License #2020024031 in MO)

NPI Profile Active July 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2020

Registered at 310 E WALNUT ST STE LL5, GARDEN CITY, KS 678465572 (Tel: 6202720570)

📍
Updated Business Mailing Address July 28, 2020

Registered at 2604 1/2 N CHAINEY ST APT 3, GARDEN CITY, KS 678463261 (Tel: 5417409798)

👤
Provider Name / Credentials Updated July 28, 2020

Recorded as DMITRIY SHPAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2020

Dentist (License #61649 in KS)

🟢
Initial NPI Registration & Enumeration July 28, 2020

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: 1922617752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2020
Last Update: February 21, 2025
Sole Proprietor: No

Mailing Address

14666 W Main St

Cut Off, LA 703453208

Phone: 9856326188

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.