Individual
DR. MICHAEL KENT SHAFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
54 MAIN ST, WINDSOR, VT 05089-1321
(802) 674-5999
(802) 674-6176
Mailing address
2419 GOULDEN RIDGE RD, SPRINGFIELD, VT 05156-9510
(802) 674-5999
(802) 674-6176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
692
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001952
—
VT
Enumeration date
06/01/2005
Last updated
07/08/2007
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