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DR. SHADRACH G GONQUEH DDS
NPI 1275791709
Dentist - General Practice in Indianapolis, IN

Active since May 30, 2008
1664 E RAYMOND ST, INDIANAPOLIS, IN 46203(317) 781-3900(317) 781-3943 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shadrach G Gonqueh Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHADRACH G GONQUEH DDS (NPI 1275791709) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12011150A) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1275791709
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHADRACH G GONQUEHCredential: DDS
Location Address1664 E RAYMOND STIndianapolis, IN 46203-4143
Mailing Address1664 E Raymond StIndianapolis, IN 46203-4143 · (317) 781-3900 · Fax (317) 781-3943
Phone(317) 781-3900
Fax(317) 781-3943
Sole ProprietorNo
Enumeration DateMay 30, 2008
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1275791709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12011150A
Definition
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.
1664 E RAYMOND ST, Indianapolis, IN 46203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY M. CANFIELD D.D.S.
Dentist (General Practice)
1664 E RAYMOND ST
INDIANAPOLIS, IN 46203
Marion County (317) 781-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadrach Gonqueh's NPI number?

The NPI number for Shadrach Gonqueh is 1275791709. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Shadrach Gonqueh located?

Shadrach Gonqueh practices at 1664 E Raymond St, Indianapolis, IN 46203. The listed phone number is (317) 781-3900.

What is Shadrach Gonqueh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shadrach Gonqueh accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shadrach Gonqueh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadrach Gonqueh was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.