Provider Demographics
NPI:1831291442
Name:SCHAFFER, FRANK E (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:E
Other - Last Name:SCHAFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2602 CUNNINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1542
Mailing Address - Country:US
Mailing Address - Phone:417-623-2000
Mailing Address - Fax:417-623-7948
Practice Address - Street 1:2602 CUNNINGHAM AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1542
Practice Address - Country:US
Practice Address - Phone:417-623-2000
Practice Address - Fax:417-623-7948
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO118101223S0112X
KS51701223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20965OtherBCBS MO PROVIDER #
MO000748177OtherUNITED CONCORDIA #
MO20965OtherBCBS MO PROVIDER #
MO000020211Medicare ID - Type Unspecified