Provider Demographics
NPI:1558480277
Name:SHAEFFER, ELIZABETH THERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:THERESA
Last Name:SHAEFFER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:SHAEFFER
Other - Last Name:ALLENCHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1301 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-7034
Mailing Address - Country:US
Mailing Address - Phone:703-522-8894
Mailing Address - Fax:703-525-8890
Practice Address - Street 1:1301 N HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-7034
Practice Address - Country:US
Practice Address - Phone:703-522-8894
Practice Address - Fax:703-525-8890
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-0060141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice