Ausmus, Mathew S.

Ausmus, Mathew S. is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ausmus, Mathew S. can be contacted via phone (573) 426-2233.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401
Phone: (573) 426-2233
Fax: (573) 364-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 014015 Missouri

Profile Details

NPI number 1518957778
LBN Legal business name Ausmus, Mathew S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 22nd, 2019 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1518957778 NPPES
Missouri MEDICAID 408413003

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