Shafer, Ty Douglas
Shafer, Ty Douglas is an individual health care provider with primary practice located at 2000 E Northwest Pkwy , Southlake TX 76092-6514. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shafer, Ty Douglas can be contacted via phone (817) 416-2228.Contact Information
Primary practice address
2000 E Northwest Pkwy
Southlake TX 76092-6514
Phone: (817) 416-2228
Fax: (817) 421-0408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21301 | Texas |
Profile Details
| NPI number | 1346269107 |
|---|---|
| LBN Legal business name | Shafer, Ty Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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