Wendahl, Matthew Thomas
Wendahl, Matthew Thomas is an individual health care provider with primary practice located at 19045 E Valley View Pkwy , Independence MO 64055-7030. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wendahl, Matthew Thomas can be contacted via phone (800) 566-2079.Contact Information
Primary practice address
19045 E Valley View Pkwy
Independence MO 64055-7030
Phone: (800) 566-2079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10313 | Tennessee |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 61841 | Kansas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2022006316 | Missouri |
Profile Details
| NPI number | 1568804961 |
|---|---|
| LBN Legal business name | Wendahl, Matthew Thomas |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2013 |
| Last updated | Jul 29th, 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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