Wayne A Mattern is a Dentist in Bismarck, North Dakota. Wayne A Mattern practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wayne A Mattern is 1124183728. The last update date is 2007-07-08.
Wayne A Mattern's current location address is 1714 N 9th St, Bismarck, North Dakota. You can contact this provider via phone number 7012231474 and fax number 7012240038. The mailing address for Wayne A Mattern is 1714 N 9th St, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne A Mattern |
|---|---|
| Address | 1714 N 9th St, Bismarck, North Dakota |
| Phone Number | 7012231474 |
| Fax Number | 7012240038 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124183728 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1714 N 9th St |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 58501 |
| Phone Number | 7012231474 |
| Fax Number | 7012240038 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | ND1454 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40411 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wayne A Mattern by the Centers for Medicare & Medicaid Services (CMS)?
The Wayne A Mattern has been assigned the NPI (National Provider Identifier) 1124183728. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Wayne A Mattern is located?
The Wayne A Mattern is situated at the following address: 1714 N 9Th St, Bismarck, ND, 58501.
What is Wayne A Mattern's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wayne A Mattern's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124183728 to Wayne A Mattern?
The Centers for Medicare & Medicaid Services assigned the 1124183728 to Wayne A Mattern on 2006-12-26.
As of what date were the details pertaining to Wayne A Mattern last refreshed?
The information related to the Wayne A Mattern, including its address, specialty, and other relevant details, was last updated on 2007-07-08.