| S. Matt Schacht, D.d.s., Professional Corporation | |
|
2625 28th St Ste 200 Boulder CO 80301-1263 | |
| (303) 341-7151 | |
| Not Available |
| Full Name | S. Matt Schacht, D.d.s., Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2625 28th St Ste 200, Boulder, Colorado |
| Authorized Official Name and Position | Stephen Matthew Schacht (PRESIDENT) |
| Authorized Official Contact | 3033417151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Matt Schacht, D.d.s., Professional Corporation 130 Rampart Way Ste 100 Denver CO 80230-6443 Ph: (303) 341-7151 | S. Matt Schacht, D.d.s., Professional Corporation 2625 28th St Ste 200 Boulder CO 80301-1263 Ph: (303) 341-7151 |
| NPI Number | 1023838430 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023838430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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