# BRIAN R. SHAFER DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962680207
- **Authorized official:** DR. BRIAN RAY SHAFER D.D.S. (OWNER)
- **Authorized official phone:** (405) 262-2739

## Contact information

- **Practice address:** 701 W WATTS ST, EL RENO, OK 73036-4458
- **Practice address phone:** (405) 262-2739
- **Practice address fax:** (405) 262-2905
- **Mailing address:** 701 W WATTS ST, EL RENO, OK 73036-4458
- **Mailing address phone:** (405) 262-2739
- **Mailing address fax:** (405) 262-2905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5388 | OK | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 02/08/2008