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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437350071 NPPES
Virginia MEDICAID 9182627

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