| Dr Marybeth D Shaffer, DMD | |
|
320 Columbia St, Leetonia, OH 44431-1291 | |
| (330) 427-6965 | |
| (330) 427-0040 |
| Full Name | Dr Marybeth D Shaffer |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 320 Columbia St, Leetonia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952380354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17171 (Ohio) | Primary |
| Entity Name | Mercy Health Physicians Youngstown, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Community Action Agency of Columbiana County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821041401 PECOS PAC ID: 8123928645 Enrollment ID: O20130408000488 |
| Entity Name | Community Action Agency of Columbiana County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821041401 PECOS PAC ID: 8123928645 Enrollment ID: O20150807014972 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marybeth D Shaffer, DMD 320 Columbia St, Leetonia, OH 44431-1291 Ph: (330) 427-6965 | Dr Marybeth D Shaffer, DMD 320 Columbia St, Leetonia, OH 44431-1291 Ph: (330) 427-6965 |