Defelice, Matthew Adam
Defelice, Matthew Adam is an sole proprietor health care provider with primary practice located at 5315 E High St Suite 119, Phoenix AZ 85054-5438. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Defelice, Matthew Adam can be contacted via phone (480) 563-3960.Contact Information
Primary practice address
5315 E High St Suite 119
Phoenix AZ 85054-5438
Phone: (480) 563-3960
Fax: (480) 563-3965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5196 | Arizona |
Profile Details
| NPI number | 1013914696 |
|---|---|
| LBN Legal business name | Defelice, Matthew Adam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Feb 27th, 2017 - 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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