S. Matt Schacht, D.d.s., Professional Corporation | |
130 Rampart Way Ste 100 Denver CO 80230-6443 | |
(303) 341-7151 | |
Not Available |
Full Name | S. Matt Schacht, D.d.s., Professional Corporation |
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Speciality | Dentist |
Location | 130 Rampart Way Ste 100, Denver, Colorado |
Authorized Official Name and Position | Stephen Matthew Schacht (PRESIDENT) |
Authorized Official Contact | 3054509515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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S. Matt Schacht, D.d.s., Professional Corporation 4600 S Syracuse St Ste 900 Denver CO 80237-2701 Ph: (305) 450-9515 | S. Matt Schacht, D.d.s., Professional Corporation 130 Rampart Way Ste 100 Denver CO 80230-6443 Ph: (303) 341-7151 |
NPI Number | 1962803429 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 10/11/2024 |
Medicare PECOS PAC ID | 1052600582 |
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Medicare Enrollment ID | O20160523001078 |
Identifier | Type | State | Issuer |
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1962803429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 202231 (Colorado) | Primary |
Provider Name | Stephen M Schacht |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1861695462 PECOS PAC ID: 2860649019 Enrollment ID: I20160523001304 |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
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