Davis, Matthew Miller

Davis, Matthew Miller is an individual health care provider with primary practice located at 8445 S Emerson Ave Suite 100, Indianapolis IN 46237-9596. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Matthew Miller can be contacted via phone (317) 882-1284.

Contact Information

Primary practice address
8445 S Emerson Ave Suite 100 Indianapolis IN 46237-9596
Phone: (317) 882-1284
Fax: (317) 887-0844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12011656A Indiana

Profile Details

NPI number 1740417898
LBN Legal business name Davis, Matthew Miller
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Jul 1st, 2013 - about 11 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 1740417898 NPPES
Indiana MEDICAID 201097720

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