David Shafer, DMD
Oral & Maxillofacial Surgery in Farmington, CT. Individual provider (NPI-1).
NPI number1528065992
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1528065992
- Entity type
- Individual (NPI-1)
- Name
- David Shafer
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2005
- Certification date
- May 12, 2021
- Last updated
- May 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 007624 | CT | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 007624 | CT |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-3300 · Fax 860-679-1099
Mailing address
263 Farmington AveProvider Enrollment
Farmington, CT 06030-2212
Phone 860-679-7503 · Fax 860-679-1610
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Other Oral & Maxillofacial Surgery (D.M.D.) providers in Farmington, CT
- Norman J Cavanagh, DMD, MDNPI 1730195975
- Michael T Goupil, D.D.S.NPI 1407851116
- Liansheng Song, DDSNPI 1164599569
- Brett A Weyman, D.D.S., M.D.NPI 1780607366
All 5 Oral & Maxillofacial Surgery (D.M.D.) providers in Farmington · All 3,315 providers in Farmington
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