Matthes, Jon

Matthes, Jon is an individual health care provider with primary practice located at 2828 International Cir Suite 100, Colorado Springs CO 80910-3127. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Matthes, Jon can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
2828 International Cir Suite 100 Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8828 Colorado

Profile Details

NPI number 1164482584
LBN Legal business name Matthes, Jon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Apr 4th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164482584 NPPES
Colorado MEDICAID 79855563

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