Dr. Stanley M. Shafer
Oral and Maxillofacial Surgeon
408 N Keystone Ave
Sayre
, Pennsylvania 18840-1825
Dr. Stanley M. Shafer
Oral and Maxillofacial Surgeon
408 N Keystone Ave
Sayre
, Pennsylvania 18840-1825
(570) 888-5607
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Stanley M. Shafer
- 408 N Keystone Ave
- Sayre, PA
- Zip : 18840-1825
- Fax : (570) 888-5607
- Phone : (570) 888-4800
Second Address
- Dr. Stanley M. Shafer
- 408 N Keystone Ave
- Sayre, PA
- Zip : 18840-1825
- Fax : (570) 888-5607
- Phone : (570) 888-4800
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Is Dr. Stanley M. Shafer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 029466 | NY |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS-021524-L | PA |
National Provider Identifier
| NPI | 1093708885 |
|---|---|
| Provider Name | Dr. Stanley M. Shafer |
| First Address | Sayre, PA 18840-1825 |
| Second Address | Sayre, PA 18840-1825 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U00382 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.