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Contact Information

SHACHAT DENTAL GROUP PLLC
212 W VAN BUREN ST # F6
CHICAGO, IL60607-3909
 Phone: 312-441-0096
 Fax: 773-943-7344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SHACHAT DENTAL GROUP PLLC

NPI Number 1003598210
LBN Legal business name SHACHAT DENTAL GROUP PLLC
Authorized official MATTHEW SHACHAT - (FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2023
Last updated 09/06/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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