Carlisle, Matthew David
Carlisle, Matthew David is an individual health care provider with primary practice located at 1225 Breckenridge Dr Suite #210, Little Rock AR 72205-1558. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Carlisle, Matthew David can be contacted via phone (501) 225-4644.Contact Information
Primary practice address
1225 Breckenridge Dr Suite #210
Little Rock AR 72205-1558
Phone: (501) 225-4644
Fax: (501) 225-4102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3613 | Arkansas |
| Dental Providers / Periodontics | 1223P0300X | 34 | Arkansas |
Profile Details
| NPI number | 1356538656 |
|---|---|
| LBN Legal business name | Carlisle, Matthew David |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2007 |
| Last updated | Feb 25th, 2016 - about 8 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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