Safari, Matt
Safari, Matt is an individual health care provider with primary practice located at 200 White Rd Ste 113 , Little Silver NJ 07739-1160. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Safari, Matt can be contacted via phone (732) 842-1155.Contact Information
Primary practice address
200 White Rd Ste 113
Little Silver NJ 07739-1160
Phone: (732) 842-1155
Fax: (732) 842-0943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DI21210 | New Jersey |
Profile Details
| NPI number | 1811044589 |
|---|---|
| LBN Legal business name | Safari, Matt |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811044589 | NPPES |
| New Jersey | MEDICAID | 8618208 |
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