| Michael Shafer Dds | |
|
2419 Goulden Ridge Rd Springfield VT 05156-9510 | |
| (802) 674-5596 | |
| Not Available |
| Full Name | Michael Shafer Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2419 Goulden Ridge Rd, Springfield, Vermont |
| Authorized Official Name and Position | Michael Kent Shafer (DENTIST/OWNER) |
| Authorized Official Contact | 8026745999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Shafer Dds 2419 Goulden Ridge Rd Springfield VT 05156-9510 Ph: (802) 674-5596 | Michael Shafer Dds 2419 Goulden Ridge Rd Springfield VT 05156-9510 Ph: (802) 674-5596 |
| NPI Number | 1174633580 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174633580 | NPI | - | NPPES |
| 0001952 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 692 (Vermont) | Primary |
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