Dietz, Matthew Konrad

Dietz, Matthew Konrad is an individual health care provider with primary practice located at 3251 Commerce Dr Ste A , Dekalb IL 60115-7908. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Dietz, Matthew Konrad can be contacted via phone (815) 756-8881.

Contact Information

Primary practice address
3251 Commerce Dr Ste A Dekalb IL 60115-7908
Phone: (815) 756-8881
Fax: (815) 756-8882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 021001668 Illinois

Profile Details

NPI number 1316261449
LBN Legal business name Dietz, Matthew Konrad
Credentials D.M..D.,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - 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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