Goergen, Matthew J

Goergen, Matthew J is an individual health care provider with primary practice located at 515 Delaware St Se , Minneapolis MN 55455-0357. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Goergen, Matthew J can be contacted via phone (612) 625-5110.

Contact Information

Primary practice address
515 Delaware St Se Minneapolis MN 55455-0357
Phone: (612) 625-5110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10555 Colorado
Dental Providers / Dentist 122300000X 019028769 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X R595 Minnesota

Profile Details

NPI number 1154601292
LBN Legal business name Goergen, Matthew J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2011
Last updated Jul 2nd, 2014 - about 11 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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