| Shaer Dental Corporation | |
|
8619 Reseda Blvd Ste 101 Northridge CA 91324-4042 | |
| (818) 678-9975 | |
| (818) 812-9383 |
| Full Name | Shaer Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 8619 Reseda Blvd Ste 101, Northridge, California |
| Authorized Official Name and Position | Olga Verdy (OFFICE MANAGER) |
| Authorized Official Contact | 8186789975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaer Dental Corporation 8619 Reseda Blvd Ste 101 Northridge CA 91324-4042 Ph: (818) 678-9975 | Shaer Dental Corporation 8619 Reseda Blvd Ste 101 Northridge CA 91324-4042 Ph: (818) 678-9975 |
| NPI Number | 1740957257 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 0941607857 |
|---|---|
| Medicare Enrollment ID | O20210920003021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Dan Shaer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1649649831 PECOS PAC ID: 3274951371 Enrollment ID: I20200921003159 |
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