Provider Demographics
NPI:1629240197
Name:SHIFFMAN, ROBERT J (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:SHIFFMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:STE. 160
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8211
Mailing Address - Country:US
Mailing Address - Phone:847-215-1511
Mailing Address - Fax:847-243-0509
Practice Address - Street 1:195 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:STE. 160
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8211
Practice Address - Country:US
Practice Address - Phone:847-215-1511
Practice Address - Fax:847-243-0509
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice