Tomoda, Matthew T

Tomoda, Matthew T is an sole proprietor health care provider with primary practice located at 614 S Main St , Blacksburg VA 24060-5259. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Tomoda, Matthew T can be contacted via phone (540) 292-7662.

Contact Information

Primary practice address
614 S Main St Blacksburg VA 24060-5259
Phone: (540) 292-7662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X District of Columbia
Dental Providers / Dentist 122300000X 0401413453 Virginia

Profile Details

NPI number 1114206158
LBN Legal business name Tomoda, Matthew T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2011
Last updated Jun 1st, 2023 - about 3 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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