Anderson, Matthew

Anderson, Matthew is an sole proprietor health care provider with primary practice located at 5464 Pine Ln , Roscoe IL 61073-7313. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Matthew can be contacted via phone (815) 623-6000.

Contact Information

Primary practice address
5464 Pine Ln Roscoe IL 61073-7313
Phone: (815) 623-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019030703 Illinois

Profile Details

NPI number 1477908655
LBN Legal business name Anderson, Matthew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2016
Last updated Dec 30th, 2020 - about 5 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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