| Shachat Dental Group Pllc | |
|
212 W Van Buren St # F6 Chicago IL 60607-3909 | |
| (312) 441-0096 | |
| (773) 943-7344 |
| Full Name | Shachat Dental Group Pllc |
|---|---|
| Speciality | Dentist |
| Location | 212 W Van Buren St # F6, Chicago, Illinois |
| Authorized Official Name and Position | Matthew Shachat (FOUNDER) |
| Authorized Official Contact | 3124410096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shachat Dental Group Pllc 212 W Van Buren St # F6 Chicago IL 60607-3909 Ph: (312) 441-0096 | Shachat Dental Group Pllc 212 W Van Buren St # F6 Chicago IL 60607-3909 Ph: (312) 441-0096 |
| NPI Number | 1003598210 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003598210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
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