Provider Demographics
NPI:1063947661
Name:DANIEL J SCHAFFT, DMD, LLC
Entity type:Organization
Organization Name:DANIEL J SCHAFFT, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHAFFT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-755-7741
Mailing Address - Street 1:185 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1760
Mailing Address - Country:US
Mailing Address - Phone:781-749-4040
Mailing Address - Fax:
Practice Address - Street 1:185 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1760
Practice Address - Country:US
Practice Address - Phone:781-749-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21665122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty