NPI Code Details Logo

NPI 1255258026

NPI 1255258026 : WILLIAM DONALD SCHAEFER DMD : MOUNT ANGEL, OR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255258026
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WILLIAM DONALD SCHAEFER DMD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/02/2026
-----------------------------------------------------
    Last Update Date     |    07/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    310 E CHARLES ST 
-----------------------------------------------------
    City                 |    MOUNT ANGEL
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97362-9657
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    503-845-2273
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    32044 S ONA WAY 
-----------------------------------------------------
    City                 |    MOLALLA
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97038-9240
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    503-939-6499
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    D12371
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.