Mattingly, Chris Lee

Mattingly, Chris Lee is an individual health care provider with primary practice located at 1013 Dupont Square North , Louisville KY 40207. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mattingly, Chris Lee can be contacted via phone (502) 895-3473.

Contact Information

Primary practice address
1013 Dupont Square North Louisville KY 40207
Phone: (502) 895-3473
Fax: (502) 897-3795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6343 Kentucky

Profile Details

NPI number 1568586048
LBN Legal business name Mattingly, Chris Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1568586048 NPPES
Kentucky MEDICAID 60063435

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