| Marybeth D. Shaffer D.m.d. | |
|
320 Columbia St Leetonia OH 44431-1291 | |
| (330) 427-6965 | |
| (330) 427-0040 |
| Full Name | Marybeth D. Shaffer D.m.d. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 320 Columbia St, Leetonia, Ohio |
| Authorized Official Name and Position | Marybeth Shaffer (PRESIDETN) |
| Authorized Official Contact | 3304276965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marybeth D. Shaffer D.m.d. 320 Columbia St Leetonia OH 44431-1291 Ph: (330) 427-6965 | Marybeth D. Shaffer D.m.d. 320 Columbia St Leetonia OH 44431-1291 Ph: (330) 427-6965 |
| NPI Number | 1447455712 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447455712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17171 (Ohio) | Primary |