Rogers, Matthew Dale

Rogers, Matthew Dale is an individual health care provider with primary practice located at 945 Main St Ste 101 , Manchester CT 06040-6064. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rogers, Matthew Dale can be contacted via phone (860) 646-1704.

Contact Information

Primary practice address
945 Main St Ste 101 Manchester CT 06040-6064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009626 Connecticut

Profile Details

NPI number 1578601555
LBN Legal business name Rogers, Matthew Dale
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
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.

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