| S. Matt Schacht, D.d.s., Professional Corporation | |
|
24191 E Alamo Dr Aurora CO 80016-4113 | |
| (305) 450-9515 | |
| Not Available |
| Full Name | S. Matt Schacht, D.d.s., Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 24191 E Alamo Dr, Aurora, 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 |
|---|---|
| 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 24191 E Alamo Dr Aurora CO 80016-4113 Ph: (305) 450-9515 |
| NPI Number | 1962803429 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Medicare PECOS PAC ID | 1052600582 |
|---|---|
| Medicare Enrollment ID | O20160523001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962803429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 202231 (Colorado) | Primary |
| Provider Name | Stephen M Schacht |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861695462 PECOS PAC ID: 2860649019 Enrollment ID: I20160523001304 |
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