West, Matthew J

West, Matthew J is an individual health care provider with primary practice located at 829 Cheif Eddie Hoffman Hwy , Bethel AK 99559-0528. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. West, Matthew J can be contacted via phone (907) 543-6272.

Contact Information

Primary practice address
829 Cheif Eddie Hoffman Hwy Bethel AK 99559-0528
Fax: (907) 543-6393
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1176 Alaska

Profile Details

NPI number 1104945443
LBN Legal business name West, Matthew J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104945443 NPPES
Alaska MEDICAID DD9225

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