Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962798009 Individual Practitioner Female Practitioner

Dr. Sepideh Shaffer , DDS

Dentist • Merrick, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sepideh Shaffer, DDS is a registered healthcare professional specializing in Dentist in Merrick, NY. Practice services are available at 31 MERRICK AVE STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 Merrick Ave Ste 220

Merrick, NY 11566

Telephone 5163445353
Associated Practice Facility / Clinic
🏢 Polished Dental Care, Pllc Facility NPI 1174063440

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Merrick, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Merrick, NY (6355 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 056409-1

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

Gpr Program, Dental Care Center, Sullivan Hall, Suny At Stony Brook

Stony Brook, NY 117948700

Phone: 6316329245

554 Larkfield Rd Ste 200

East Northport, NY 117314205

Phone: 6312661302

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003176397

Doctor of Dental Medicine

Dr. Michael Shaffer , DDS

Dentist - General Practice

NPI 1043579857

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 15, 2018

Registered at 31 MERRICK AVE STE 220, MERRICK, NY 11566 (Tel: 5163445353)

NPI Profile Active January 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2018

Registered at 554 LARKFIELD RD STE 200, EAST NORTHPORT, NY 117314205 (Tel: 6312661302)

📍
Updated Business Mailing Address January 15, 2018

Registered at 31 MERRICK AVE STE 220, MERRICK, NY 115663406

👤
Provider Name / Credentials Updated January 15, 2018

Recorded as SEPIDEH SHAFFER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2011

Registered at GPR PROGRAM, DENTAL CARE CENTER, SULLIVAN HALL, SUNY AT STONY BROOK, STONY BROOK, NY 117948700 (Tel: 6316329245)

📍
Updated Business Mailing Address June 28, 2011

Registered at GPR PROGRAM, DENTAL CARE CENTER, SULLIVAN HALL, SUNY AT STONY BROOK, STONY BROOK, NY 117948700 (Tel: 6316329245)

👤
Provider Name / Credentials Updated June 28, 2011

Recorded as SEPIDEH RADPARVAR, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2011

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: 1962798009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2011
Last Update: May 15, 2018
Sole Proprietor: No

Mailing Address

31 Merrick Ave Ste 220

Merrick, NY 115663406

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.