Matthew Richard Clary in Columbus - Dentist
Matthew Richard Clary - NPI 1619194859
Matthew Richard Clary is a Dentist in Columbus, Wisconsin. Matthew Richard Clary practices all healthcare services and medical treatments related to Dentist. The NPI Number for Matthew Richard Clary is 1619194859. The last update date is 2007-07-08.
Matthew Richard Clary's current location address is 1132 Park Ave, Columbus, Wisconsin. You can contact this provider via phone number 9206235559 and fax number 9206230127. The mailing address for Matthew Richard Clary is 1132 Park Ave, Columbus, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Richard Clary |
|---|---|
| Address | 1132 Park Ave, Columbus, Wisconsin |
| Phone Number | 9206235559 |
| Fax Number | 9206230127 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619194859 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1132 Park Ave |
|---|---|
| City | Columbus |
| State | Wisconsin (WI) |
| Post Code | 539251609 |
| Phone Number | 9206235559 |
| Fax Number | 9206230127 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5985 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Matthew Richard Clary by the Centers for Medicare & Medicaid Services?
The Matthew Richard Clary has been issued the NPI (National Provider Identifier) 1619194859. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Matthew Richard Clary's facilities are situated?
The facilities of Matthew Richard Clary are physically located at the following address: 1132 Park Ave, Columbus, WI, 539251609.
What is the Matthew Richard Clary's area of specialization and corresponding taxonomy classification?
The Matthew Richard Clary's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Matthew Richard Clary receive the assignment of its 1619194859 from the Centers for Medicare & Medicaid Services?
The Matthew Richard Clary was issued its 1619194859 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the information regarding Matthew Richard Clary most recently updated?
The details pertaining to the Matthew Richard Clary, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.