Wall, Matthew Tyler
Wall, Matthew Tyler is an sole proprietor health care provider with primary practice located at 174 Crepe Myrtle Dr , Aiken SC 29803-7543. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wall, Matthew Tyler can be contacted via phone (803) 641-3883.Contact Information
Primary practice address
174 Crepe Myrtle Dr
Aiken SC 29803-7543
Phone: (803) 641-3883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN016114 | Georgia |
| Dental Providers / General Practice | 1223G0001X | DGD.9871GD | South Carolina |
Profile Details
| NPI number | 1083247209 |
|---|---|
| LBN Legal business name | Wall, Matthew Tyler |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2020 |
| Last updated | May 10th, 2022 - about 4 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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