Jackson, Matthew Dv

Jackson, Matthew Dv is an individual health care provider with primary practice located at 9319 E Harry #126, Wichita KS 67207. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Matthew Dv can be contacted via phone (316) 683-7081.

Contact Information

Primary practice address
9319 E Harry #126 Wichita KS 67207
Phone: (316) 683-7081
Fax: (316) 683-8149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X KS7131 Kansas

Profile Details

NPI number 1962481887
LBN Legal business name Jackson, Matthew Dv
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 13th, 2026 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962481887 NPPES
Kansas Other 059792 BCBS OF KS
Kansas Other 976141 BCBS OF KS

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