Individual provider · Type 1 NPI

Ryan Douglas Shafer

General Practice Dentistry · St. Joseph, MI

NPI number 1073403002 Active

Practice location

3386 Niles Rd
St. Joseph, MI 49085-8800

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901602741 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073403002

Ryan Douglas Shafer's National Provider Identifier is 1073403002, issued on Jul 9, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Joseph, MI. The record was last updated on Jul 9, 2025.