Individual provider · Type 1 NPI

Robert William Shafer, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Champaign, IL

NPI number 1508960170 Active

Practice location

2902 Crossing Ct, Suite A
Champaign, IL 61822-6175

Call (217) 356-9595 Map

Fax (217) 356-6425

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X19022993 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1508960170

Robert William Shafer, DMD's National Provider Identifier is 1508960170, issued on Sep 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.