MATTHEW HEARN NPI 1538585617

NPI Information

NPI: 1538585617
Provider Name: MATTHEW HEARN
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2009 ROOSEVELT RD
SUITE B
VALPARAISO, IN
ZIP 46383
Phone: (504) 220-7344
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MATTHEW HEARN is a dental clinic center in Valparaiso, IN. MATTHEW HEARN NPI is 1538585617. The provider is registered as an organization entity type.

The provider's business location address is:

2009 ROOSEVELT RD
SUITE B
VALPARAISO, IN
ZIP 46383-765
Phone: (504) 220-7344

The provider's authorized official is Matthew William Hearn .
The authorized official title is Oral Surgeon and has the following contact phone number (504) 220-7344.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	12010718A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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