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
Fax: (706) 721-6778
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598707705 NPPES
South Carolina MEDICAID ZG1452
South Carolina MEDICAID 000789159A

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