Gandolfo, Matthew Peter

Gandolfo, Matthew Peter is an individual health care provider with primary practice located at 2404 Greatstone Pt , Lexington KY 40504-3274. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gandolfo, Matthew Peter can be contacted via phone (859) 224-8111.

Contact Information

Primary practice address
2404 Greatstone Pt Lexington KY 40504-3274
Phone: (859) 224-8111
Fax: (859) 224-8211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3960 Kentucky

Profile Details

NPI number 1639111362
LBN Legal business name Gandolfo, Matthew Peter
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 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.

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