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NPI Code Detail

MEDICARE: SCHAFFNER FAMILY DENTAL, PC

MEDICARE: SCHAFFNER FAMILY DENTAL, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1922720606
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHAFFNER FAMILY DENTAL, PC
Provider Business Mailing Address
First Line : 1337 RIVERSIDE AVE STE 1
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4373
Country : US
Telephone Number : 970-893-4998
Fax Number : 970-893-2903
Provider Business Practice Location Address
First Line : 1337 RIVERSIDE AVE STE 1
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4373
Country : US
Telephone Number : 970-893-4998
Fax Number : 970-893-2903
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. NATHAN WAYNE SCHAFFNER
Credential : D.D.S.
Telephone Number : 970-893-4998
Provider Enumeration Date : 09/19/2022
Last Update Date : 09/19/2022

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Directions to “SCHAFFNER FAMILY DENTAL, PC ” Practice Location

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