Ditch, Dustin Matthew
Ditch, Dustin Matthew is an sole proprietor health care provider with primary practice located at 510 22Nd Ave E Ste 702 , Alexandria MN 56308. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Ditch, Dustin Matthew can be contacted via phone (320) 460-8400.Contact Information
Primary practice address
510 22Nd Ave E Ste 702
Alexandria MN 56308
Phone: (320) 460-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13650 | Minnesota |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D13650 | Minnesota |
Profile Details
| NPI number | 1811347867 |
|---|---|
| LBN Legal business name | Ditch, Dustin Matthew |
| Credentials | D.D.S, M.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2016 |
| Last updated | Aug 14th, 2018 - about 8 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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