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MATCHSTICK LLC NPI 1982918884


NPI Information

NPI: 1982918884
Provider Name: MATCHSTICK LLC

Doing Business As: DAVINCI DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2401 BERNADETTE DR
SUITE 217
COLUMBIA, MO
ZIP 65203
Phone: (573) 445-1100
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MATCHSTICK LLC is a general practice dentist in Columbia, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MATCHSTICK LLC NPI is 1982918884. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Davinci Dental Care.

The provider's business location address is:

2401 BERNADETTE DR
SUITE 217
COLUMBIA, MO
ZIP 65203-672
Phone: (573) 445-1100
Fax: (573) 445-1153

The provider's authorized official is Mary Virginia Gadbois .
The authorized official title is Chief Financial Officer and has the following contact phone number (573) 446-0880.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice2009013643MISSOURIYes

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: 4/28/2024

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