Checketts, Matthew Russel
Checketts, Matthew Russel is an individual health care provider with primary practice located at 2133 Pepperrell St , Lackland Afb TX 78236-5313. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Checketts, Matthew Russel can be contacted via phone (210) 292-8612.Contact Information
Primary practice address
2133 Pepperrell St
Lackland Afb TX 78236-5313
Phone: (210) 292-8612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 10468 | Colorado |
| Dental Providers / Prosthodontics | 1223P0700X | 00010468 | Colorado |
Profile Details
| NPI number | 1730477084 |
|---|---|
| LBN Legal business name | Checketts, Matthew Russel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2011 |
| Last updated | Dec 28th, 2020 - about 5 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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