Priya Devi Shaffer, DDS
Dentist in North Branch, MN. Individual provider (NPI-1).
NPI number1386901007
StatusActive
Last updated in NPPESMar 17, 2014
Details
- NPI
- 1386901007
- Entity type
- Individual (NPI-1)
- Name
- Miss Priya Devi Shaffer
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2012
- Last updated
- Mar 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D13091 | MN | Yes |
| 122300000X | Dentist | D4437 | ID |
Practice location
6041 Main St # 40North Branch, MN 55056-6588
Phone 651-674-4811
Mailing address
6041 Main St # 40North Branch, MN 55056-6588
Phone 651-674-4811
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in North Branch, MN
- Steven Lewis Clawson, DDSNPI 1477527216
- Shawn Timothy McCullough, DDSNPI 1023171196
- Kyle Merrick, DDSNPI 1417515339
- Richard R. Nyman, D.D.S., P.A.NPI 1841418639
All 5 Dentist providers in North Branch · All 170 providers in North Branch
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