Dietrich, Matthew A

Dietrich, Matthew A is an individual health care provider with primary practice located at 3900 Sunforest Ct Suite 232, Toledo OH 43623-4475. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Dietrich, Matthew A can be contacted via phone (419) 472-7668.

Contact Information

Primary practice address
3900 Sunforest Ct Suite 232 Toledo OH 43623-4475
Phone: (419) 472-7668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 30.023403 Ohio
Dental Providers / General Practice 1223G0001X 08501 Iowa

Profile Details

NPI number 1740489038
LBN Legal business name Dietrich, Matthew A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Mar 26th, 2015 - about 10 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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