| Matthew Hearn | |
|
2009 Roosevelt Rd Suite B Valparaiso IN 46383-3765 | |
| (504) 220-7344 | |
| Not Available |
| Full Name | Matthew Hearn |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2009 Roosevelt Rd, Valparaiso, 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 2009 Roosevelt Rd Suite B Valparaiso IN 46383-3765 Ph: (504) 220-7344 | Matthew Hearn 2009 Roosevelt Rd Suite B Valparaiso IN 46383-3765 Ph: (504) 220-7344 |
| NPI Number | 1538585617 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538585617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010718A (Indiana) | Primary |
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