Provider Demographics
NPI:1962451948
Name:SCHAAP, TERRY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:A
Last Name:SCHAAP
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 1:4007 COUNTRY LN NW
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-1637
Mailing Address - Country:US
Mailing Address - Phone:360-373-6529
Mailing Address - Fax:
Practice Address - Street 1:2135 6TH ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-3957
Practice Address - Country:US
Practice Address - Phone:360-479-1600
Practice Address - Fax:360-479-1646
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA47941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice