Mccoy, Matt
Mccoy, Matt is an individual health care provider with primary practice located at 3411 Merlin Dr , Idaho Falls ID 83404-7430. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mccoy, Matt can be contacted via phone (801) 440-6849.Contact Information
Primary practice address
3411 Merlin Dr
Idaho Falls ID 83404-7430
Phone: (801) 440-6849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D4719 | Idaho |
Profile Details
| NPI number | 1750747077 |
|---|---|
| LBN Legal business name | Mccoy, Matt |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2016 |
| Last updated | Jan 4th, 2016 - about 9 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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