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Organization
S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION
Active
Organization
S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MATTHEW SCHACHT DDS (PRESIDENT)
(303) 341-7151
Entity
Organization
Contact information
Practice address
2625 28TH ST STE 200, BOULDER, CO 80301-1263
(303) 341-7151
Mailing address
130 RAMPART WAY STE 100, DENVER, CO 80230-6443
(303) 341-7151
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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