Bruce W Shaffer, D.M.D.
Dentist in Ashland, KY. Individual provider (NPI-1).
NPI number1720161037
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161037
- Entity type
- Individual (NPI-1)
- Name
- Bruce W Shaffer
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4636 | KY | Yes |
Practice location
700 Saint Christopher DrSuite 202
Ashland, KY 41101-7062
Phone 606-836-8162 · Fax 606-836-1387
Mailing address
700 Saint Christopher DrSuite 202
Ashland, KY 41101-7062
Phone 606-836-8162 · Fax 606-836-1387
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