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Contact Information

MATTHEW S STANDRIDGE, DDS
1 SOUTHTOWNE DR
POTOSI, MO63664-5729
 Phone: 573-438-8401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MATTHEW S STANDRIDGE · (Male)

NPI # 1255650529
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/25/2010
Last updated 08/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 60776
  • MO License # 2010016150
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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