Dr. Randy Alan Shaffer , DDS
Dentist - General Practice • Peterson Afb, CO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randy Shaffer has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Randy Shaffer, DDS was a registered Dentist - General Practice practicing in Peterson Afb, CO. Throughout an active medical career spanning 17 years, Dr. Shaffer provided care at the practice location at 110 W. ENT AVE until profile deactivation on 2022-03-14.
Practice Location & Contact Primary Location
110 W. Ent Ave
Attn: 21 Ds/sgdd
Peterson Afb, CO 809141540
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Peterson Afb, CO
Practicing in Peterson Afb, CO (2613 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Periodontics
Doctor of Dental Surgery
Dentist
DENTISTDMD
Dentist
DENTISTDDS
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 14, 2022
NPI status registered as active in NPPES database
Registered at 110 W. ENT AVE, ATTN: 21 DS/SGDD, PETERSON AFB, CO 809141540 (Tel: 7194572273)
Registered at 110 W. ENT AVE, ATTN: 21 DS/SGDD, PETERSON AFB, CO 809141540 (Tel: 7194572273)
Recorded as RANDY SHAFFER, D.D.S
Dentist (License #17451 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
110 W. Ent Ave, Attn: 21 Ds/sgdd
Peterson Afb, CO 809141540
Phone: 7194572273
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