Organization
S. MATTHEW SCHACHT DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MATTHEW SCHACHT D.D.S. (PRESIDENT)
(305) 450-9515
Entity
Organization
Contact information
Practice address
4744 S FLORIDA AVE, LAKELAND, FL 33813-2181
(305) 450-9515
Mailing address
651 OKEECHOBEE BLVD, #806, WEST PALM BEACH, FL 33401-6060
(305) 450-9515
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN19288
FL
Other
Enumeration date
03/20/2012
Last updated
10/15/2014
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