Michael Kent Matheson in Salt Lake City - Dentist
Michael Kent Matheson - NPI 1104039809
Michael Kent Matheson is a Dentist in Salt Lake City, Utah. Michael Kent Matheson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Kent Matheson is 1104039809. The last update date is 2023-08-23.
Michael Kent Matheson's current location address is 3939 Wasatch Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8014240027 and fax number 8014240029. The mailing address for Michael Kent Matheson is 3939 Wasatch Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kent Matheson |
|---|---|
| Address | 3939 Wasatch Blvd, Salt Lake City, Utah |
| Phone Number | 8014240027 |
| Fax Number | 8014240029 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104039809 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2023-08-23 |
Provider Mailing Address Detail
| Address | 3939 Wasatch Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841242216 |
| Phone Number | 8014240027 |
| Fax Number | 8014240029 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 362747-9922 |
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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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What is the unique 10-digit identifier code issued to Michael Kent Matheson by the Centers for Medicare & Medicaid Services?
The Michael Kent Matheson has been assigned the NPI (National Provider Identifier) 1104039809 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Michael Kent Matheson's facilities are geographically located?
The facilities of Michael Kent Matheson are physically situated at the following location: 3939 Wasatch Blvd, Salt Lake City, UT, 841242216.
What is the Michael Kent Matheson's specialty and taxonomy code?
The Michael Kent Matheson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1104039809 assigned to Michael Kent Matheson?
The Michael Kent Matheson was issued its 1104039809 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michael Kent Matheson most recently updated or refreshed?
The details pertaining to the Michael Kent Matheson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-23.
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