Thomas, Christian Mathew

Thomas, Christian Mathew is an individual health care provider with primary practice located at 16223 Miramar Pkwy , Miramar FL 33027-4572. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Thomas, Christian Mathew can be contacted via phone (954) 433-4544.

Contact Information

Primary practice address
16223 Miramar Pkwy Miramar FL 33027-4572
Phone: (954) 433-4544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN13411 Florida

Profile Details

NPI number 1689862674
LBN Legal business name Thomas, Christian Mathew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Dec 20th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689862674 NPPES
Florida MEDICAID 071515800

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