Raymond Patrick Shupak, DMD, MD

Oral surgeon in Fort Worth, Texas · NPI 1962798462

Raymond Shupak is one of 4 oral surgeons practicing in Fort Worth, Texas. See all oral surgeons in Texas. Raymond Shupak practices with Oral And Maxillofacial Network PLLC.

Registry record (NPPES)

NPI
1962798462
Type
Type 1 · Individual
Primary taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Address on file
1500 South Main Street Jps Hospital
Fort Worth, TX 76104
(817) 702-5595
Enumerated
Jun 22, 2011
Record last updated
May 24, 2021
License states listed
PA, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in PA, TX
Maxillofacial Surgery, Oral Surgery
Revalidation due
No date set by CMS

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Practice locations

More oral surgeons in Fort Worth

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.