Healthcare Provider Details

I. General information

NPI: 1255258026
Provider Name (Legal Business Name): WILLIAM DONALD SCHAEFER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILL SCHAEFER DMD

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E CHARLES ST
MOUNT ANGEL OR
97362-9657
US

IV. Provider business mailing address

32044 S ONA WAY
MOLALLA OR
97038-9240
US

V. Phone/Fax

Practice location:
  • Phone: 503-845-2273
  • Fax:
Mailing address:
  • Phone: 503-939-6499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD12371
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: