Dematteis, Donald R

Dematteis, Donald R is an sole proprietor health care provider with primary practice located at 32105 1St Ave S. B-2, Federal Way WA 98003. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Dematteis, Donald R can be contacted via phone (253) 838-2884.

Contact Information

Primary practice address
32105 1St Ave S. B-2 Federal Way WA 98003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X DE00003923 Washington
Dental Providers / Dentist 122300000X DE00003923 Washington

Profile Details

NPI number 1366777393
LBN Legal business name Dematteis, Donald R
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2009
Last updated Dec 19th, 2009 - about 15 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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