Anderson, Matthew Boyd
Anderson, Matthew Boyd is an sole proprietor health care provider with primary practice located at 5189 Utica Ridge Rd , Davenport IA 52807-3863. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Matthew Boyd can be contacted via phone (563) 355-2010.Contact Information
Primary practice address
5189 Utica Ridge Rd
Davenport IA 52807-3863
Phone: (563) 355-2010
Fax: (563) 355-3191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07892 | Iowa |
Profile Details
| NPI number | 1851302228 |
|---|---|
| LBN Legal business name | Anderson, Matthew Boyd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851302228 | NPPES |
| Iowa | Other | 12002 | BC/BS PROVIDER |
| Iowa | Other | 973821 | BC/BS PROVIDER |
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