Search › Indiana › 122300000X
Mark Shafer, DDS
NPI 1962530238 · on the registry since 2007
Practice
- Address
- 51410 Bittersweet Rd
Granger, IN 46530 - Phone
- (574) 277-7995
- Fax
- (574) 277-0184
- Organisation at this address
- Bittersweet Rd. Family Dentist
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana