Brandt, Matthew Todd

Brandt, Matthew Todd is an individual health care provider with primary practice located at 54 S Medical Park Drive , Fishersville VA 22939. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brandt, Matthew Todd can be contacted via phone (540) 886-2956.

Contact Information

Primary practice address
54 S Medical Park Drive Fishersville VA 22939
Phone: (540) 886-2956
Fax: (540) 886-2284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401410707 Virginia

Profile Details

NPI number 1942308259
LBN Legal business name Brandt, Matthew Todd
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 12th, 2010 - about 14 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 1942308259 NPPES
Virginia MEDICAID 9198564

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