Individual
DR. JOHN W SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
222 12TH ST NE STE 1B, ATLANTA, GA 30309-4009
(404) 815-4800
(404) 815-0002
Mailing address
222 12TH ST NE STE 1B, ATLANTA, GA 30309-4009
(404) 815-4800
(404) 815-0002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.029281
IL
1223P0300X
Periodontics
021.002499
IL
1223P0300X
Periodontics
2012010128
MO
1223P0300X
Periodontics
DN 18094
FL
1223P0300X
Periodontics
Primary
DN016082
GA
Other
Enumeration date
07/29/2010
Last updated
10/19/2020
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