Anderson, Matthew Thomas
Anderson, Matthew Thomas is an individual health care provider with primary practice located at 122 S State St , Fall Creek WI 54742-9701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Matthew Thomas can be contacted via phone (715) 514-9600.Contact Information
Primary practice address
122 S State St
Fall Creek WI 54742-9701
Phone: (715) 514-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6001463-15 | Wisconsin |
Profile Details
| NPI number | 1730928714 |
|---|---|
| LBN Legal business name | Anderson, Matthew Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2024 |
| Last updated | May 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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