Ficca, Matthew D
Ficca, Matthew D is an sole proprietor health care provider with primary practice located at 3325 Springbank Ln Suite 140, Charlotte NC 28226-3365. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Ficca, Matthew D can be contacted via phone (704) 544-2224.Contact Information
Primary practice address
3325 Springbank Ln Suite 140
Charlotte NC 28226-3365
Phone: (704) 544-2224
Fax: (704) 544-2259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401410412 | Virginia |
| Dental Providers / Periodontics | 1223P0300X | 7216 | North Carolina |
Profile Details
| NPI number | 1437350071 |
|---|---|
| LBN Legal business name | Ficca, Matthew D |
| Credentials | DMD, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Mar 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437350071 | NPPES |
| Virginia | MEDICAID | 9182627 |
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