Grill, Matt Tavis

Grill, Matt Tavis is an sole proprietor health care provider with primary practice located at 207 E 31St St , Savannah GA 31401-7304. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grill, Matt Tavis can be contacted via phone (912) 232-2779.

Contact Information

Primary practice address
207 E 31St St Savannah GA 31401-7304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013009 Georgia

Profile Details

NPI number 1649264565
LBN Legal business name Grill, Matt Tavis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Mar 30th, 2010 - about 14 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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