Boothe, Matthew Gregory

Boothe, Matthew Gregory is an individual health care provider with primary practice located at 3470 E Meridian Park Loop , Wasilla AK 99654-7294. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Boothe, Matthew Gregory can be contacted via phone (907) 373-8684.

Contact Information

Primary practice address
3470 E Meridian Park Loop Wasilla AK 99654-7294
Phone: (907) 373-8684
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30627 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 109471 Alaska

Profile Details

NPI number 1104239136
LBN Legal business name Boothe, Matthew Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2014
Last updated Sep 2nd, 2016 - about 9 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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