Provider Demographics
NPI:1659386050
Name:SHEMMERI, THAFUR R (DMD MSCD DSCD PC)
Entity Type:Individual
Prefix:DR
First Name:THAFUR
Middle Name:R
Last Name:SHEMMERI
Suffix:
Gender:M
Credentials:DMD MSCD DSCD PC
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Mailing Address - Street 1:100 WHALON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420
Mailing Address - Country:US
Mailing Address - Phone:978-342-3004
Mailing Address - Fax:978-343-7959
Practice Address - Street 1:100 WHALON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420
Practice Address - Country:US
Practice Address - Phone:978-342-3004
Practice Address - Fax:978-343-7959
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA180551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry