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Deactivated NPI 1528074051 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Shaffner , DDS

Dentist - General Practice • Lansing, MI

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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. Mark Shaffner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date November 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Shaffner, DDS was a registered Dentist - General Practice practicing in Lansing, MI. Throughout an active medical career spanning 17 years, Dr. Shaffner provided care at the practice location at 3525 S MARTIN LUTHER KING JR BLVD until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

3525 S Martin Luther King Jr Blvd

Lansing, MI 489104300

Telephone 5173941495
Fax 5173946478
Associated Practice Facility / Clinic
🏢 Gps, Llc Facility NPI 1093781734

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
92 Specialists

Practicing in Lansing, MI (4360 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901019285

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

3 Associated Practitioners
Dr. Thomas Cooley , DDS

Dentist - General Practice

NPI 1194731620

Doctor of Dental Surgery

Dr. William Freemire , DDS

Dentist - Periodontics

NPI 1235146044

Doctor of Dental Surgery

Dr. Sameh Eid , DDS

Dentist - General Practice

NPI 1457475725

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3525 S MARTIN LUTHER KING JR BLVD, LANSING, MI 489104300 (Tel: 5173941495)

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Updated Business Mailing Address July 08, 2007

Registered at 5050 SCHAEFER RD, DEARBORN, MI 481263249 (Tel: 3135828150)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK SHAFFNER, DDS

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

Dentist (License #2901019285 in MI)

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Initial NPI Registration & Enumeration August 01, 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: 1528074051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Deactivation Date: November 29, 2023

Mailing Address

5050 Schaefer Rd

Dearborn, MI 481263249

Phone: 3135828150

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.