Provider Demographics
NPI:1760923452
Name:SCHAFF, RILEY ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RILEY
Middle Name:ALLEN
Last Name:SCHAFF
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 1:2411 OAK VALLEY DR STE 600
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-7601
Mailing Address - Country:US
Mailing Address - Phone:734-761-1122
Mailing Address - Fax:
Practice Address - Street 1:2411 OAK VALLEY DR STE 600
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-7601
Practice Address - Country:US
Practice Address - Phone:734-761-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022545122300000X
WADEUW.DR.60736653122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist