Shafer, David

Shafer, David is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Shafer, David can be contacted via phone (860) 679-3300.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-3300
Fax: (860) 679-1099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 007624 Connecticut
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 007624 Connecticut

Profile Details

NPI number 1528065992
LBN Legal business name Shafer, David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528065992 NPPES
Connecticut MEDICAID 002076249

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