# NICKI SCHAFER DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chandler Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477970259
- **Authorized official:** NICKI LYNN SCHAFER DDS (OWNER)
- **Authorized official phone:** (405) 258-2684

## Contact information

- **Practice address:** 1516 S IOWA AVE, CHANDLER, OK 74834-9169
- **Practice address phone:** (405) 258-2684
- **Practice address fax:** (405) 258-5353
- **Mailing address:** 1516 S IOWA AVE, P O BOX 249, CHANDLER, OK 74834-9169
- **Mailing address phone:** (405) 258-2684
- **Mailing address fax:** (405) 258-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6037 | OK | Yes |

## Other

- **Enumeration date:** 03/18/2014
- **Last updated:** 03/18/2014