Dr Wendell Wilson Shaffer, DDS is a
Dentist based in N Royalton, Ohio. Dr Wendell Wilson Shaffer is licensed to practice in Ohio (license number 30016249) and his current practice location is
17601 W 130th St, N Royalton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 582-0550.
NPI number for Dr Wendell Wilson Shaffer is 1508874777 and his current mailing address is 17601 W 130th St, N Royalton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508874777.
Healthcare Provider's Profile
| Full Name | Dr Wendell Wilson Shaffer |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 17601 W 130th St, N Royalton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508874777
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Wendell Wilson Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508874777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30016249 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wendell Wilson Shaffer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Wendell Wilson Shaffer, DDS
17601 W 130th St,
N Royalton, OH 44133
Ph: (440) 582-0550 | Dr Wendell Wilson Shaffer, DDS
17601 W 130th St,
N Royalton, OH 44256
Ph: (440) 582-0550 |
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