SCHAFFER AND DITTO DDS, PC
NPI 1467693630
Dentist - Oral and Maxillofacial Surgery in Joplin, MO

Active since March 17, 2009
2602 CUNNINGHAM AVE, JOPLIN, MO 64804(417) 623-2000(417) 623-7948 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Schaffer And Ditto Dds, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCHAFFER AND DITTO DDS, PC (NPI 1467693630) is a healthcare organization registered as an oral and maxillofacial surgery in Joplin, Missouri and active in the NPI registry since March 2009. The organization lists Shana Holman, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1467693630
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSCHAFFER AND DITTO DDS, PC
Location Address2602 CUNNINGHAM AVEJoplin, MO 64804-1542
Mailing Address2602 Cunningham AveJoplin, MO 64804-1542 · (417) 623-2000 · Fax (417) 623-7948
Fax(417) 623-7948
Organization SubpartNo
Authorized OfficialShana HolmanInsurance Coordinator · (417) 623-2000
Enumeration DateMarch 17, 2009
NPI 1467693630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MO · 11810
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2602 CUNNINGHAM AVE, Joplin, MO 64804

Other Identifiers 4

Other000020211MO · Medicare Provider #
Medicare UPINT70990MO
Other29065MO · Blue Cross Blue Shield Provider Number
Other000748177MO · United Concordia Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
2602 CUNNINGHAM AVE
JOPLIN, MO 64804
Oral & Maxillofacial Surgery
2602 CUNNINGHAM AVE
JOPLIN, MO 64804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Schaffer And Ditto Dds, PC's NPI number?

The NPI number for Schaffer And Ditto Dds, PC is 1467693630. It was assigned to this organization in the NPPES registry on March 17, 2009.

Where is Schaffer And Ditto Dds, PC located?

Schaffer And Ditto Dds, PC is located at 2602 Cunningham Ave, Joplin, MO 64804. The listed phone number is (417) 623-2000.

What is Schaffer And Ditto Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Schaffer And Ditto Dds, PC was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.