Organization
TYLER SCHAFFELD DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER BOONE SCHAFFELD DMD (PRESIDENT)
(541) 561-5672
Entity
Organization
Contact information
Practice address
120 S RIVER ST, ENTERPRISE, OR 97828-1336
(541) 426-3783
Mailing address
120 S RIVER ST, ENTERPRISE, OR 97828-1336
(541) 426-3783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10038
OR
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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