Matthew E Robertson Dmd Llc

LBN: Matthew E Robertson Dmd Llc
Matthew E Robertson Dmd Llc is an health care organization with primary practice located at 3510 N Ridge Rd Ste 500, Wichita KS 67205-1224. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Matthew E Robertson Dmd Llc can be contacted via phone (316) 722-0800, or through Robertson, Matthew E via phone (316) 722-0800.

Contact Information

Primary practice address
3510 N Ridge Rd Ste 500 Wichita KS 67205-1224
Phone: (316) 722-0800
Fax: (316) 722-5822
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Matthew E Doctor of Dental Medicine (DMD)
Phone: (316) 722-0800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 60512 Kansas

Profile Details

NPI number 1275892671
LBN Legal business name Matthew E Robertson Dmd Llc
DBA Doing business as
Authorized official Robertson, Matthew E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2012
Last updated Jun 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275892671 NPPES
Kansas MEDICAID 200557210A

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