Moll, Matthew Charles
Moll, Matthew Charles is an individual health care provider with primary practice located at 125 N Shortridge Rd , Indianapolis IN 46219-4908. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Moll, Matthew Charles can be contacted via phone (317) 353-1320.Contact Information
Primary practice address
125 N Shortridge Rd
Indianapolis IN 46219-4908
Phone: (317) 353-1320
Fax: (317) 359-5243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12010101A | Indiana |
Profile Details
| NPI number | 1689890030 |
|---|---|
| LBN Legal business name | Moll, Matthew Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 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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