Hayden, Matthew J

Hayden, Matthew J is an sole proprietor health care provider with primary practice located at 1050 W Elm Ave Suite #240, Hermiston OR 97838-2700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hayden, Matthew J can be contacted via phone (541) 567-8414.

Contact Information

Primary practice address
1050 W Elm Ave Suite #240 Hermiston OR 97838-2700
Fax: (541) 567-8422
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D6959 Oregon

Profile Details

NPI number 1174506000
LBN Legal business name Hayden, Matthew J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Feb 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174506000 NPPES
Oregon MEDICAID 067285

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