Herring, Matthew Carl

Herring, Matthew Carl is an individual health care provider with primary practice located at 36283 N Gantzel Rd Ste 102 , San Tan Valley AZ 85140-7322. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Herring, Matthew Carl can be contacted via phone (480) 386-6978.

Contact Information

Primary practice address
36283 N Gantzel Rd Ste 102 San Tan Valley AZ 85140-7322
Fax: (480) 452-1644
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9164 Arizona
Dental Providers / Pediatric Dentistry 1223P0221X 9164 Arizona

Profile Details

NPI number 1215378765
LBN Legal business name Herring, Matthew Carl
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2013
Last updated Jul 21st, 2022 - about 2 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 1215378765 NPPES
Arizona MEDICAID 042559

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