Individual
DR. JACK E SCHAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN ST, ROOM S 110, INDIANAPOLIS, IN 46202-5211
(317) 274-5141
(317) 278-3018
Mailing address
1121 W MICHIGAN STREET, ROOM S 110, INDIANAPOLIS, IN 46202-5211
(317) 274-5141
(317) 278-3018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007273
IN
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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