MEDICARE: SHPAK FAMILY DENTISTRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1811708548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHPAK FAMILY DENTISTRY LLC

Provider Business Mailing Address
First Line	:	14666 W MAIN ST
Second Line	:
City	:	CUT OFF
State	:	LA
Zip	:	70345-3208
Country	:	US
Telephone Number	:	985-632-6188
Fax Number	:

Provider Business Practice Location Address
First Line	:	14666 W MAIN ST
Second Line	:
City	:	CUT OFF
State	:	LA
Zip	:	70345-3208
Country	:	US
Telephone Number	:	985-632-6188
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. DMITRIY SHPAK
Credential	:	DDS
Telephone Number	:	541-740-9798

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/14/2025

Similar Medicare Providers

1922617752 — DR. DMITRIY SHPAK DDS
Practice Location Address:

14666 W MAIN ST
CUT OFF, LA
70345-3208

Practice Phone: 985-632-6188
Practice Fax:

1114088259 — DR. STEPHEN W WEGNER MD
Practice Location Address:

109 1ST AVE SE
CUT BANK, MT
59427-3208

Practice Phone: 406-450-1754
Practice Fax:

1942167754 — LAWRENCE JOSEPH HEBERT III
Practice Location Address:

102 W 112TH ST
CUT OFF, LA
70345-3628

Practice Phone: 985-632-5222
Practice Fax:

1376547653 — LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Practice Location Address:

200 W 134TH PL
CUT OFF, LA
70345-4143

Practice Phone: 985-632-6900
Practice Fax: 985-632-8325

1457358996 — LAFOURCHE AMBULANCE DISTRICT NO. 1
Practice Location Address:

17078 W MAIN ST
CUT OFF, LA
70345-4102

Practice Phone: 985-632-7192
Practice Fax: 985-632-7198

1922005842 — LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Practice Location Address:

200 W 134TH PL
CUT OFF, LA
70345-4143

Practice Phone: 985-632-6401
Practice Fax: 985-632-8513

Directions to “SHPAK FAMILY DENTISTRY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.