| Matthew Hearn Ltd | |
|
3204 Lancer St Ste B Portage IN 46368-4491 | |
| (219) 762-1806 | |
| (219) 763-9979 |
| Full Name | Matthew Hearn Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3204 Lancer St Ste B, Portage, Indiana |
| Authorized Official Name and Position | Matthew William Hearn (ORAL SURGEON) |
| Authorized Official Contact | 5042207344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Hearn Ltd 3712 Lake Huron Dr Apt 104 Valparaiso IN 46383-6746 Ph: (504) 220-7344 | Matthew Hearn Ltd 3204 Lancer St Ste B Portage IN 46368-4491 Ph: (219) 762-1806 |
| NPI Number | 1265216881 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265216881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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