Detar, Matthew Scott

Detar, Matthew Scott is an individual health care provider with primary practice located at 10682 Crestwood Dr Ste C , Manassas VA 20109-4401. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Detar, Matthew Scott can be contacted via phone (703) 368-8120.

Contact Information

Primary practice address
10682 Crestwood Dr Ste C Manassas VA 20109-4401
Phone: (703) 368-8120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 0401411877 Virginia

Profile Details

NPI number 1073770608
LBN Legal business name Detar, Matthew Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Oct 1st, 2018 - about 7 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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