Robert W Shafer Dds Ltd

LBN: Robert W Shafer Dds Ltd
Robert W Shafer Dds Ltd is an health care organization with primary practice located at 2902 Crossing Ct Suite A, Champaign IL 61822-6175. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Robert W Shafer Dds Ltd can be contacted via phone (217) 356-9595, or through Shafer, Robert William via phone (217) 356-9595.

Contact Information

Primary practice address
2902 Crossing Ct Suite A Champaign IL 61822-6175
Phone: (217) 356-9595
Fax: (217) 356-6425
Website:
Map and Directions
Authorized official contact:
Name: Shafer, Robert William Doctor of Dental Surgery (DDS)
Phone: (217) 356-9595

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19022993 Illinois

Profile Details

NPI number 1184728768
LBN Legal business name Robert W Shafer Dds Ltd
DBA Doing business as
Authorized official Shafer, Robert William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184728768 NPPES
Illinois Other 19022993 LICENSE

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