Robert W Shafer Dds Ltd in Champaign - Orthodontics And Dentofacial Orthopedics
Robert W Shafer Dds Ltd - NPI 1184728768
Robert W Shafer Dds Ltd is a Orthodontics And Dentofacial Orthopedics in Champaign, Illinois. Robert W Shafer Dds Ltd practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Robert W Shafer Dds Ltd is 1184728768. The last update date is 2008-06-18.
Robert W Shafer Dds Ltd's current location address is 2902 Crossing Ct, Champaign, Illinois. You can contact this provider via phone number 2173569595 and fax number 2173566425. The mailing address for Robert W Shafer Dds Ltd is 2902 Crossing Ct, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert W Shafer Dds Ltd |
|---|---|
| Address | 2902 Crossing Ct, Champaign, Illinois |
| Phone Number | 2173569595 |
| Fax Number | 2173566425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORTHODONTI |
|---|---|
| Authorized Official Name | Shafer William Robert |
| Credentials | DDS |
| Telephone Number | 2173569595 |
NPI Number Detail
| NPI Number | 1184728768 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 2902 Crossing Ct |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618226175 |
| Phone Number | 2173569595 |
| Fax Number | 2173566425 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 19022993 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19022993 | IL | LICENSE |
Post Comment/ Review Below
What is the Robert W Shafer Dds Ltd's unique identification number?
The Robert W Shafer Dds Ltd has been assigned the NPI (National Provider Identifier) Number 1184728768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Robert W Shafer Dds Ltd?
The Robert W Shafer Dds Ltd is physically situated at 2902 Crossing Ct, in the city of Champaign, state of IL, with the postal code 618226175.
What is Robert W Shafer Dds Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert W Shafer Dds Ltd's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
When did the Robert W Shafer Dds Ltd receive its 1184728768?
The Robert W Shafer Dds Ltd was issued its 1184728768 on 2006-09-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Robert W Shafer Dds Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert W Shafer Dds Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-18.