Dr. Gregory Lee Shafer, D.D.S.
Dentist, General Practice in Chesaning, MI. Individual provider (NPI-1).
NPI number1619002276
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619002276
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory Lee Shafer
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901011667 | MI | Yes |
Practice location
133 S Saginaw StChesaning, MI 48616-1265
Phone 989-845-6656 · Fax 989-845-6656
Mailing address
133 S Saginaw StChesaning, MI 48616-1265
Phone 989-845-6656 · Fax 989-845-6656
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Other General Practice Dentistry providers in Chesaning, MI
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