Provider Demographics
NPI:1831874031
Name:SCHAFER, TONI JOSEPHINE (DMD)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:JOSEPHINE
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 S SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:REMUS
Mailing Address - State:MI
Mailing Address - Zip Code:49340-9446
Mailing Address - Country:US
Mailing Address - Phone:231-944-8094
Mailing Address - Fax:
Practice Address - Street 1:7255 9 MILE RD
Practice Address - Street 2:
Practice Address - City:MECOSTA
Practice Address - State:MI
Practice Address - Zip Code:49332-9344
Practice Address - Country:US
Practice Address - Phone:231-972-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601827122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist