Paradise, Mattie

Paradise, Mattie is an individual health care provider with primary practice located at 190 Park Ave , Portland ME 04102-2910. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Paradise, Mattie can be contacted via phone (207) 874-1028.

Contact Information

Primary practice address
190 Park Ave Portland ME 04102-2910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN4626 Maine

Profile Details

NPI number 1508350307
LBN Legal business name Paradise, Mattie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Jun 15th, 2018 - about 8 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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