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Ty Shafer Dds Pa
General Practice Dentistry in Southlake, Texas
NPI 1316229271

Ty Shafer Dds Pa is a General Practice Dentistry based in Southlake, TX and is specialized in General Practice. Ty Shafer Dds Pa practices in Southlake, TX. The NPI Number for Ty Shafer Dds Pa is 1316229271 and holds a License No. 21301 (Texas).

The current practice location address for Ty Shafer Dds Pa is 311 W. Southlake Blvd., Southlake, TX and can be reached out via phone at 817-416-2228 and via fax at 817-421-0408.

Location: 311 W. Southlake Blvd., Southlake, TX, 76092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316229271
Provider Name
Ty Shafer Dds Pa
Credential
Provider Entity Type
Organization
Address
311 W. Southlake Blvd., Southlake, TX, 76092
Phone Number
817-416-2228
Fax Number
817-421-0408
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
311 W. Southlake Blvd.
City
Southlake
State
Texas
Zip
76092
Phone Number
817-416-2228
Fax Number
817-421-0408
person
Provider Business Mailing Address Details
Address
311 W. Southlake Blvd.
City
Southlake
State
Texas
Zip
76092
Phone Number
817-416-2228
Fax Number
817-421-0408
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
21301 (Texas)
Definition
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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