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MICHAEL KENT SHAFER DDS, NPI 1962406215

Dentist in SPRINGFIELD, VT

Last Updated on : Jul 08,2007

About MICHAEL KENT SHAFER (NPI 1962406215)


MICHAEL KENT SHAFER is a Dentist provider in SPRINGFIELD, United States. His medical specialization is Dentist with a focus in General Practice.

1962406215 is NPI number of MICHAEL KENT SHAFER.

MICHAEL KENT SHAFER's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 692. This taxonomy code refers to Dentist.

MICHAEL KENT SHAFER has more than 16 years of experience.

MICHAEL KENT SHAFER current practice location address is 2419 GOULDEN RIDGE RD, SPRINGFIELD, VT. MICHAEL KENT SHAFER can be reached out via phone at 802-674-5999 and via fax at 802-674-6176 .

You can also correspond with MICHAEL KENT SHAFER through mail at mailing address 54 MAIN ST, WINDSOR, VT, United States. Mailing address contact number is 802-674-5999.

The enumeration date of MICHAEL KENT SHAFER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1962406215 NPI Information

Name MICHAEL KENT SHAFER
National Provider Id (NPI) 1962406215
Entity Type Individual
Gender M
Credential DDS
Practice Address 2419 GOULDEN RIDGE RD,
SPRINGFIELD, VT, United States
Practice Telephone 802-674-5999
Practice Fax Number 802-674-6176
Mailing Address 54 MAIN ST ,
WINDSOR, VT, United States
Mailing Telephone 802-674-5999
Mailing Fax Number 802-674-6176
Enumeration Date 01-Jun-2005
Last Updated Date 08-Jul-2007

MICHAEL KENT SHAFER (NPI 1962406215) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice 692 VT

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
0001952 MEDICAID (05) VT

MICHAEL KENT SHAFER (NPI 1962406215) Office Location

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1881654150 RALPH EDWARD HOLSWORTH Family Medicine 373 E 10TH AVE,
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1063617769 ANN ALEA RATLIFF Speech-Language Pathologist, 316 W 11TH AVE,
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1902837693 LANCE DENNE GALE Pharmacist 909 MAIN ST,
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1629207931 MELVIN KILE VINEY Nurse Practitioner, Family 373 E 10TH AVE,
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FAQs

Whose NPI Number is 1962406215?

1962406215 is the NPI number of MICHAEL KENT SHAFER.

What is the specialty for MICHAEL KENT SHAFER?

The Specialty of MICHAEL KENT SHAFER is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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