Provider Demographics
NPI:1891915344
Name:SCHAEFFER, JAMES MITCHELL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MITCHELL
Last Name:SCHAEFFER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 THOMPSON AVE
Mailing Address - Street 2:ROOM 336
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1627
Mailing Address - Country:US
Mailing Address - Phone:301-443-4319
Mailing Address - Fax:301-594-6610
Practice Address - Street 1:801 THOMPSON AVE
Practice Address - Street 2:ROOM 336
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1627
Practice Address - Country:US
Practice Address - Phone:301-443-4319
Practice Address - Fax:301-594-6610
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025379L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice