Dr. Shad B Mackert
Prosthodontist Dentist - General Practice
8200 E Belleview Ave Ste 500
Greenwood Village
, Colorado 80111-2808
Dr. Shad B Mackert
Prosthodontist Dentist - General Practice
8200 E Belleview Ave Ste 500
Greenwood Village
, Colorado 80111-2808
(303) 988-3824
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About
Features
Specialties
- General Practice
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Shad B Mackert
- 8200 E Belleview Ave Ste 500
- Greenwood Village, CO
- Zip : 80111-2808
- Phone : (303) 988-3824
Second Address
- Dr. Shad B Mackert
- 8200 E Belleview Ave Ste 500
- Greenwood Village, CO
- Zip : 80111-2808
- Phone : (801) 253-4776
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Is Dr. Shad B Mackert a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 2901021479 | MI |
| N | 213EG0000X | General Practice | 2901021479 | MI |
| Y | 1223P0700X | Prosthodontist | 10220776-8903 | UT |
| N | 1223P0700X | Prosthodontist | 2901021479 | MI |
National Provider Identifier
| NPI | 1144605403 |
|---|---|
| Provider Name | Dr. Shad B Mackert |
| First Address | Greenwood Village, CO 80111-2808 |
| Second Address | Greenwood Village, CO 80111-2808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2015 |
| Last Update Date | 26/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.