Individual
DR. WILLIAM ANDREW SCHACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 CALLE DE LA VUELTA, B-102, SANTA FE, NM 87501-1933
(505) 983-5000
(505) 988-1371
Mailing address
2100 CALLE DE LA VUELTA, B-102, SANTA FE, NM 87505
(505) 983-5000
(505) 988-1371
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD1148
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850273952
850273952
NM
Enumeration date
03/08/2007
Last updated
10/03/2008
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