Provider Demographics
NPI:1902820962
Name:SCHACHTER, MARC R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:R
Last Name:SCHACHTER
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:972 ROUTE 45
Mailing Address - Street 2:SUITE 102
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3519
Mailing Address - Country:US
Mailing Address - Phone:845-354-6900
Mailing Address - Fax:845-354-6901
Practice Address - Street 1:972 ROUTE 45
Practice Address - Street 2:SUITE 102
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3519
Practice Address - Country:US
Practice Address - Phone:845-354-6900
Practice Address - Fax:845-354-6901
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2016-02-05
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Provider Licenses
StateLicense IDTaxonomies
NY0330961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery