Ellison, Matthew T

Ellison, Matthew T is an individual health care provider with primary practice located at Womack Army Medical Center 2817 Reilly Road , Fort Liberty NC 28310-0001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ellison, Matthew T can be contacted via phone (910) 907-6974.

Contact Information

Primary practice address
Womack Army Medical Center 2817 Reilly Road Fort Liberty NC 28310-0001
Phone: (910) 907-6974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11258 Oregon

Profile Details

NPI number 1790393213
LBN Legal business name Ellison, Matthew T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2020
Last updated Jun 13th, 2023 - about 2 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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