Miner, R Matthew

Miner, R Matthew is an individual health care provider with primary practice located at 1 Lyons St , Dedham MA 02026-5599. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Miner, R Matthew can be contacted via phone (781) 329-1400.

Contact Information

Primary practice address
1 Lyons St Dedham MA 02026-5599
Phone: (781) 329-1400
Fax: (781) 278-5667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 11829 Massachusetts

Profile Details

NPI number 1609872233
LBN Legal business name Miner, R Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1609872233 NPPES
Other 11829 DELTA DENTAL
Other X05827 DELTA DENTAL
Other DMA502 DELTA DENTAL
Other 0016777 DELTA DENTAL
Other 16419 DELTA DENTAL
Other 16419 DELTA DENTAL
Other 16419 DELTA DENTAL

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