Standridge, Matthew Scott

Standridge, Matthew Scott is an individual health care provider with primary practice located at 1 Southtowne Dr , Potosi MO 63664-5729. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dental Public Health is his primary health care specialty. Standridge, Matthew Scott can be contacted via phone (573) 438-8401.

Contact Information

Primary practice address
1 Southtowne Dr Potosi MO 63664-5729
Phone: (573) 438-8401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 2010016150 Missouri
Dental Providers / Dental Public Health 1223D0001X 60776 Kansas
Dental Providers / General Practice 1223G0001X 60776 Kansas

Profile Details

NPI number 1255650529
LBN Legal business name Standridge, Matthew Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Aug 5th, 2011 - about 13 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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