NPI 1043579857

Michael J Shaffer, DDS

Practitioner General Practice Dentistry Merrick, NY

Practice location

Address: 1469 Merrick Ave, Merrick, NY 11566-1602
Phone: (516) 344-5353
Fax: (516) 544-6525

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 056871 (NY)

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Registry record

NPI: 1043579857
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.