Clegg, Matthew S.

Clegg, Matthew S. is an individual health care provider with primary practice located at 802 7Th St , Clarkston WA 99403-2022. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clegg, Matthew S. can be contacted via phone (509) 758-4181.

Contact Information

Primary practice address
802 7Th St Clarkston WA 99403-2022
Phone: (509) 758-4181
Fax: (509) 758-4756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DE00010180 Washington

Profile Details

NPI number 1336122118
LBN Legal business name Clegg, Matthew S.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336122118 NPPES
Washington Other 602 510 100 UNIFIED BUSINESS IDENT.

Popular Providers