NPI 1770568800 DR. RANDY ALAN SHAFFER D.D.S PETERSON AFB CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Randy Alan Shaffer - NPI: 1770568800

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. RANDY ALAN SHAFFER
NPI Number: 1770568800
Entity Type Code: Individual (1)
Gender: M
Credentials: D.D.S
License Number: 17451
Business Practice Address: 110 W. Ent Ave
Attn: 21 Ds/sgdd Peterson Afb, CO - 809141540
Business Phone Number: 7194572273
Business Fax Number: 7195561331
Mailing Address: 110 W. Ent Ave, Attn: 21 Ds/sgdd
PETERSON AFB
State: CO
Postal Code: 809141540
Phone Number: 7194572273
Fax Number: 7195561331
NPI Enumeration Date: 12/13/2005
NPI Last Update Date: 11/29/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: 17451
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy 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.


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