Ryan Douglas Shafer

General Practice Dentistry · Saint Joseph, MI

Individual Active NPI

NPI number 1073403002

Practice location

3386 Niles Rd
Saint Joseph, MI 49085-8800
Phone
(269) 281-8080

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NPI record

NPI
1073403002
Entity type
Individual (Type 1)
Enumeration date
July 9, 2025
Last updated
July 9, 2025
Certified
July 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901602741 MI

About Ryan Shafer

Ryan Douglas Shafer is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3386 Niles Rd, Saint Joseph, MI 49085-8800. The NPI number 1073403002 was assigned on July 9, 2025 and the record was last updated on July 9, 2025.

Ryan Shafer lists a license in the registry: #2901602741 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Douglas Shafer?

The NPI number is 1073403002.

What is the phone number of Ryan Shafer?

The phone number listed for the practice location is (269) 281-8080.

Where is Ryan Shafer located?

3386 Niles Rd, Saint Joseph, MI 49085-8800.

What is the taxonomy code for Ryan Shafer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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