Mitchell, Matthew C

Mitchell, Matthew C is an sole proprietor health care provider with primary practice located at 211 High Point Ct Suite 500, Mt Washington KY 40047-5528. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mitchell, Matthew C can be contacted via phone (502) 538-2400.

Contact Information

Primary practice address
211 High Point Ct Suite 500 Mt Washington KY 40047-5528
Phone: (502) 538-2400
Fax: (502) 538-2403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 806 Kentucky

Profile Details

NPI number 1871698043
LBN Legal business name Mitchell, Matthew C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Mar 26th, 2015 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871698043 NPPES
Kentucky MEDICAID 7100071020

Popular Providers