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General NPI Number Information
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NPI Number | 1699884536
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Entity Type | Individual
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Provider Name | DENNIS CARL SCHAFFER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 405 W GRAND AVE FL 3
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City | DAYTON
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State | OH
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Zip | 45405-4720
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Country | US
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Telephone | 937-723-3368
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Fax | 937-723-4913
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Provider Business Mailing Address
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Address Line | 2110 LEITER RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3598
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Country | US
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Telephone | 937-914-7054
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Fax | 937-522-7685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30014733
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License Number State | OH
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