Mathison, Brian Cole

Mathison, Brian Cole is an individual health care provider with primary practice located at 4742 Amber Valley Pkwy S , Fargo ND 58104-8614. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mathison, Brian Cole can be contacted via phone (701) 356-3999.

Contact Information

Primary practice address
4742 Amber Valley Pkwy S Fargo ND 58104-8614
Phone: (701) 356-3999
Fax: (701) 356-4088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1887 North Dakota

Profile Details

NPI number 1063424232
LBN Legal business name Mathison, Brian Cole
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 19th, 2012 - about 13 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 1063424232 NPPES
North Dakota Other 971887 DENTAL SERVIC CORP

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