Matthew L Heaphy in Missoula - General Practice

Matthew L Heaphy - NPI 1063584829

Matthew L Heaphy is a General Practice in Missoula, Montana. Matthew L Heaphy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew L Heaphy is 1063584829. The last update date is 2007-07-08.

Matthew L Heaphy's current location address is 712 Kensington Ave, Missoula, Montana. You can contact this provider via phone number 4065438347 and fax number 4065438650. The mailing address for Matthew L Heaphy is 712 Kensington Ave, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew L Heaphy
Address 712 Kensington Ave, Missoula, Montana
Phone Number 4065438347
Fax Number 4065438650
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1063584829
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 712 Kensington Ave
City Missoula
State Montana (MT)
Post Code 598015720
Phone Number 4065438347
Fax Number 4065438650

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2081
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2081 MT STATE LICENSE

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FAQs about Matthew L Heaphy

What is the Matthew L Heaphy's unique identification number?

The Matthew L Heaphy has been assigned the NPI (National Provider Identifier) Number 1063584829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Matthew L Heaphy's physical address?

The Matthew L Heaphy is physically located at 712 Kensington Ave, in the city of Missoula, MT, with the postal code 598015720.

What is Matthew L Heaphy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Matthew L Heaphy's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Matthew L Heaphy receive the assignment of its 1063584829 from the Centers for Medicare & Medicaid Services?

The Matthew L Heaphy was issued its 1063584829 by the Centers for Medicare & Medicaid Services on 2006-11-15.

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

The information related to Matthew L Heaphy, 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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