Schafer, Tara Elizabeth
Schafer, Tara Elizabeth is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912-0001. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Schafer, Tara Elizabeth can be contacted via phone (706) 721-2716.Contact Information
Primary practice address
1430 John Wesley Gilbert Drive
Augusta GA 30912-0001
Phone: (706) 721-2716
Fax: (706) 721-6778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DNES000291 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN011452 | Georgia |
Profile Details
| NPI number | 1598707705 |
|---|---|
| LBN Legal business name | Schafer, Tara Elizabeth |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598707705 | NPPES |
| South Carolina | MEDICAID | ZG1452 | |
| South Carolina | MEDICAID | 000789159A |
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