Individual
NOELAN SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2946 WINFIELD DUNN PKWY STE 301, KODAK, TN 37764-4319
(865) 465-7058
Mailing address
4795 SUGARLOAF PARKWAY, BUFORD, GA 30519
(470) 223-3532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10572
TN
1223G0001X
General Practice Dentistry
DN015714
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2017
Last updated
10/26/2020
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