Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Shachat, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174142525

Matthew Shachat, DMD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

212 W Van Buren St # F6
Chicago, IL 60607-3909
Phone: (312) 441-0096
Fax: (773) 943-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.032689 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174142525
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address212 W Van Buren St # F6, Chicago, IL 60607-3909

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