Provider Demographics
NPI:1871664201
Name:SCHACHMAN, MARK ALAN (DMD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ALAN
Last Name:SCHACHMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 COLUMBIA TURNPIKE
Mailing Address - Street 2:SUITE 205 SOUTH TOWER
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932
Mailing Address - Country:US
Mailing Address - Phone:973-765-0011
Mailing Address - Fax:973-965-9276
Practice Address - Street 1:256 COLUMBIA TURNPIKE
Practice Address - Street 2:SUITE 205 SOUTH TOWER
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-765-0011
Practice Address - Fax:973-965-9276
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO16299001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics