Norbert A Matulis in St John - Dentist

Norbert A Matulis - NPI 1154397057

Norbert A Matulis is a Dentist in St John, Indiana. Norbert A Matulis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Norbert A Matulis is 1154397057. The last update date is 2007-07-08.

Norbert A Matulis's current location address is 9207 Wicker Avenue, St John, Indiana. You can contact this provider via phone number 2193658696 and fax number 2193652121. The mailing address for Norbert A Matulis is 9207 Wicker Avenue, St John, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Norbert A Matulis
Address 9207 Wicker Avenue, St John, Indiana
Phone Number 2193658696
Fax Number 2193652121
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1154397057
Provider Enumeration Date 2006-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9207 Wicker Avenue
City St John
State Indiana (IN)
Post Code 46373
Phone Number 2193658696
Fax Number 2193652121

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7043
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Norbert A Matulis

What is the Norbert A Matulis's 1154397057?

The Norbert A Matulis's NPI (National Provider Identifier) Number is 1154397057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Norbert A Matulis?

The Norbert A Matulis is physically situated at 9207 Wicker Avenue, in the city of St John, state of IN, with the postal code 46373.

What is Norbert A Matulis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Norbert A Matulis is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Norbert A Matulis receive its 1154397057 assignment from the Centers for Medicare & Medicaid Services?

The Norbert A Matulis was assigned its 1154397057 by the Centers for Medicare & Medicaid Services on 2006-02-28.

As of what date was the information regarding Norbert A Matulis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Norbert A Matulis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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