Provider Demographics
NPI:1003475310
Name:TORRES SCHAFFER, MONICA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:TORRES SCHAFFER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:TORRES SCHAFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:15925 VAN AKEN BLVD APT 204E
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5371
Mailing Address - Country:US
Mailing Address - Phone:440-654-7503
Mailing Address - Fax:
Practice Address - Street 1:2624 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4676
Practice Address - Country:US
Practice Address - Phone:440-654-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.025838122300000X
CODEN.002055631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist