# S. MATT SCHACHT, D.D.S., PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023838430
- **Authorized official:** STEPHEN MATTHEW SCHACHT DDS (PRESIDENT)
- **Authorized official phone:** (303) 341-7151

## Contact information

- **Practice address:** 2625 28TH ST STE 200, BOULDER, CO 80301-1263
- **Practice address phone:** (303) 341-7151
- **Mailing address:** 130 RAMPART WAY STE 100, DENVER, CO 80230-6443
- **Mailing address phone:** (303) 341-7151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024