Provider Demographics
NPI:1215454830
Name:SCHAFF, WHITNEY KRISTINE (DDS)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:KRISTINE
Last Name:SCHAFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11027 PRAIRIEVIEW TRL N
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-4463
Mailing Address - Country:US
Mailing Address - Phone:763-229-1415
Mailing Address - Fax:
Practice Address - Street 1:563 BIELENBERG DR STE 210
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4429
Practice Address - Country:US
Practice Address - Phone:651-414-0208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10016331223G0001X
MND150191223G0001X
FLDN237411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice