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
Phone: (480) 386-6978
Fax: (480) 452-1644
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215378765 | NPPES |
Arizona | MEDICAID | 042559 |
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