Schacht, Stephen Matthew

Schacht, Stephen Matthew is an individual health care provider with primary practice located at 4744 S Florida Ave , Lakeland FL 33813-2181. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Schacht, Stephen Matthew can be contacted via phone (305) 450-9515.

Contact Information

Primary practice address
4744 S Florida Ave Lakeland FL 33813-2181
Phone: (305) 450-9515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN19288 Florida

Profile Details

NPI number 1861695462
LBN Legal business name Schacht, Stephen Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Oct 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861695462 NPPES
Other SWMC 249-X INSTITUTIONAL PERMIT

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