Swanson, Matthew Timothy

Swanson, Matthew Timothy is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Suite 114, Eglin Afb FL 32542-1391. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Swanson, Matthew Timothy can be contacted via phone (850) 883-8782.

Contact Information

Primary practice address
307 Boatner Rd Suite 114 Eglin Afb FL 32542-1391
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12389 Minnesota

Profile Details

NPI number 1083805501
LBN Legal business name Swanson, Matthew Timothy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Aug 8th, 2007 - about 18 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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