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Dr. Robert William Shafer, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Champaign, Illinois
NPI 1508960170

Robert William Shafer is a Orthodontics and Dentofacial Orthopedic Dentist based in Champaign, IL and is specialized in Orthodontics and Dentofacial Orthopedics. Robert William Shafer practices in Champaign, IL and has the professional credentials of DMD. The NPI Number for Robert William Shafer is 1508960170 and holds a License No. 19022993 (Illinois).

The current practice location address for Robert William Shafer is 2902 Crossing Ct, Champaign, IL and can be reached out via phone at 217-356-9595 and via fax at 217-356-6425.

Location: 2902 Crossing Ct, Champaign, IL, 61822-6175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508960170
Provider Name
Robert William Shafer
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2902 Crossing Ct, Champaign, IL, 61822-6175
Phone Number
217-356-9595
Fax Number
217-356-6425
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19022993 01 IL ORTHODONTIC LICENSE
institution
Provider Business Practice Location Address Details
Address
2902 Crossing Ct
City
Champaign
State
Illinois
Zip
61822-6175
Phone Number
217-356-9595
Fax Number
217-356-6425
person
Provider Business Mailing Address Details
Address
2902 Crossing Ct
City
Champaign
State
Illinois
Zip
61822-6175
Phone Number
217-356-9595
Fax Number
217-356-6425
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
19022993 (Illinois)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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