Individual
DR. STANLEY M. SHAFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(570) 888-4800
(570) 888-5607
Mailing address
408 N KEYSTONE AVE, SAYRE, PA 18840-1825
(570) 888-4800
(570) 888-5607
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
029466
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-021524-L
PA
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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