# SHAFFER & SHAFFER FAMILY DENTISTRY PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barry C Shaffer DMD Bruce W Shaffer DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841392859
- **Authorized official:** BARRY C SHAFFER DMD (PRESIDENT)
- **Authorized official phone:** (606) 836-8162

## Contact information

- **Practice address:** 700 SAINT CHRISTOPHER DRIVE, SUITE 202, ASHLAND, KY 41101
- **Practice address phone:** (606) 836-8162
- **Practice address fax:** (606) 836-1387
- **Mailing address:** 700 SAINT CHRISTOPHER DRIVE, SUITE 202, ASHLAND, KY 41101
- **Mailing address phone:** (606) 836-8162
- **Mailing address fax:** (606) 836-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4635 | KY | Yes |
| 1223G0001X | General Practice Dentistry | 4636 | KY | — |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020