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TY SHAFER DDS PA NPI 1316229271


NPI Information

NPI: 1316229271
Provider Name: TY SHAFER DDS PA

Doing Business As: SHAFER DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
311 W. SOUTHLAKE BLVD.
SUITE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 416-2228
Get Directions

TY SHAFER DDS PA is a general practice dentist in Southlake, TX. The provider is 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. TY SHAFER DDS PA NPI is 1316229271. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shafer Dental.

The provider's business location address is:

311 W. SOUTHLAKE BLVD.
SUITE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 416-2228
Fax: (817) 421-0408

The provider's authorized official is Ty Shafer .
The authorized official title is Owner and has the following contact phone number (817) 416-2228.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice21301TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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