Provider Demographics
NPI:1548427917
Name:SCHAEFFER, MICHELLE ANN (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 N ANKENY BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4703
Mailing Address - Country:US
Mailing Address - Phone:515-965-4456
Mailing Address - Fax:515-965-8003
Practice Address - Street 1:2525 N ANKENY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4703
Practice Address - Country:US
Practice Address - Phone:515-965-4456
Practice Address - Fax:515-965-8003
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics