Brennan, Matthew M

Brennan, Matthew M is an individual health care provider with primary practice located at 1434 Warwick Ave , Warwick RI 02888-5026. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brennan, Matthew M can be contacted via phone (401) 463-6350.

Contact Information

Primary practice address
1434 Warwick Ave Warwick RI 02888-5026
Phone: (401) 463-6350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN2587 Rhode Island

Profile Details

NPI number 1538348321
LBN Legal business name Brennan, Matthew M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 18 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 1538348321 NPPES
Other 139-741 UNITED CONCORDIA
Other 41-00012 UNITED CONCORDIA
Other 8037-4 UNITED CONCORDIA
MEDICAID WB01101 UNITED CONCORDIA
Other RG0069 UNITED CONCORDIA

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