Matz, Marty J
Matz, Marty J is an individual health care provider with primary practice located at 15751 W Dodge Rd , Omaha NE 68118-2536. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Matz, Marty J can be contacted via phone (402) 397-8050.Contact Information
Primary practice address
15751 W Dodge Rd
Omaha NE 68118-2536
Phone: (402) 397-8050
Fax: (402) 397-3566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5582 | Nebraska |
Profile Details
| NPI number | 1013976661 |
|---|---|
| LBN Legal business name | Matz, Marty J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Dec 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013976661 | NPPES |
| Nebraska | MEDICAID | 47077471200 |
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