Provider Demographics
NPI:1861471120
Name:SCHAFNITZ, PAUL JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOHN
Last Name:SCHAFNITZ
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 1:400 LAKES EDGE DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-5225
Mailing Address - Country:US
Mailing Address - Phone:248-628-7103
Mailing Address - Fax:
Practice Address - Street 1:31690 HOOVER RD
Practice Address - Street 2:SUITE #C
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-7653
Practice Address - Country:US
Practice Address - Phone:586-939-2440
Practice Address - Fax:586-939-8038
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI105701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice