Provider Demographics
NPI:1083232839
Name:SCHAEFER DENTAL GROUP-HOWELL
Entity Type:Organization
Organization Name:SCHAEFER DENTAL GROUP-HOWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-896-0039
Mailing Address - Street 1:112 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-2268
Mailing Address - Country:US
Mailing Address - Phone:517-546-8983
Mailing Address - Fax:517-546-1422
Practice Address - Street 1:112 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2268
Practice Address - Country:US
Practice Address - Phone:517-546-8983
Practice Address - Fax:517-546-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental