Individual
BRUCE W SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
700 SAINT CHRISTOPHER DR, SUITE 202, ASHLAND, KY 41101-7062
(606) 836-8162
(606) 836-1387
Mailing address
700 SAINT CHRISTOPHER DR, SUITE 202, ASHLAND, KY 41101-7062
(606) 836-8162
(606) 836-1387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4636
KY
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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