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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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