Active NPI 1750499729 Individual Practitioner Female Practitioner

Dr. Kathy Jo Shafer , DMD

Dentist - General Practice • Litchfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kathy Shafer, DMD is a registered healthcare professional specializing in Dentist - General Practice in Litchfield, IL. Practice services are available at 3162 TRAYLOR TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3162 Traylor Trl

Litchfield, IL 620564559

Telephone 2176225137

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Litchfield, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Litchfield, IL (5581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-16

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019021377

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

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Updated Practice Location December 16, 2022

Registered at 3162 TRAYLOR TRL, LITCHFIELD, IL 620564559 (Tel: 2176225137)

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Updated Business Mailing Address December 16, 2022

Registered at 3162 TRAYLOR TRL, LITCHFIELD, IL 620564559 (Tel: 2176225137)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2022

Dentist (License #019021377 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 125 W COLUMBIAN BLVD S, POB 434, LITCHFIELD, IL 620563021 (Tel: 2173242610)

📍

Updated Business Mailing Address July 08, 2007

Registered at 125 W COLUMBIAN BLVD S, POB 434, LITCHFIELD, IL 620563021 (Tel: 2173242610)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KATHY SHAFER, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #019-021377 in IL)

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Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750499729

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 29, 2006

Last Update: December 16, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3162 Traylor Trl

Litchfield, IL 620564559

Phone: 2176225137

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.