Bagnall, Matthew Lee

Bagnall, Matthew Lee is an individual health care provider with primary practice located at 16 Haverhill St , Andover MA 01810-3002. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagnall, Matthew Lee can be contacted via phone (978) 475-3997.

Contact Information

Primary practice address
16 Haverhill St Andover MA 01810-3002
Phone: (978) 475-3997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1856571 Massachusetts

Profile Details

NPI number 1205109436
LBN Legal business name Bagnall, Matthew Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2012
Last updated Jun 25th, 2014 - about 12 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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