Sandberg, Matthew

Sandberg, Matthew is an individual health care provider with primary practice located at 6535 W North Ave , Wauwatosa WI 53213-2016. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dentist is his primary health care specialty. Sandberg, Matthew can be contacted via phone (414) 258-8190.

Contact Information

Primary practice address
6535 W North Ave Wauwatosa WI 53213-2016
Phone: (414) 258-8190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 6664-15 Wisconsin
Dental Providers / Dental Public Health 1223D0001X 6664-15 Wisconsin

Profile Details

NPI number 1851617229
LBN Legal business name Sandberg, Matthew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2010
Last updated Apr 2nd, 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.

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