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Dr. Jeffry R Shaefer, DDS
Orofacial Pain Dentist in Boston, Massachusetts
NPI 1306822606

Jeffry R Shaefer is a Orofacial Pain Dentist based in Charlestown, MA and is specialized in Orofacial Pain. Jeffry R Shaefer practices in Boston, MA and has the professional credentials of DDS. The NPI Number for Jeffry R Shaefer is 1306822606 and holds a License No. 15402 (Massachusetts).

The current practice location address for Jeffry R Shaefer is 188 Longwood Avenue, Boston, MA and can be reached out via phone at 617-432-3153 and via fax at 617-498-1205. You can also correspond with Jeffry R Shaefer through the mailing address at PO BOX 9142, CHARLESTOWN, MA - 02129-9142 (mailing address contact number: 617-724-0287).

Location: 188 Longwood Avenue, Boston, MA, 02129-9142
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Provider Profile Details
NPI Number
1306822606
Provider Name
Jeffry R Shaefer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
188 Longwood Avenue, Boston, MA, 02129-9142
Phone Number
617-432-3153
Fax Number
617-498-1205
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015402 01 MA TUFTS HEALTH PLAN
0282138 05 MA
institution
Provider Business Practice Location Address Details
Address
188 Longwood Avenue
City
State
Zip
02115
Phone Number
617-432-3153
Fax Number
617-498-1205
person
Provider Business Mailing Address Details
Address
188 Longwood Avenue
City
State
Zip
02115
Phone Number
617-432-3153
Fax Number
617-498-1205
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
15402 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
License No.
15402 (Massachusetts)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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