Individual
SEAN SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
331 S STATE ROAD 135 STE D, GREENWOOD, IN 46142-1453
(317) 859-0600
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011163A
IN
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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