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Contact Information

RALPH A MATACALE, DDS
2302 U.S. HIGHWAY 60 EAST
EARL C CLEMENT JOB CORPS ACADEMY
MORGANFIELD, KY42437
 Phone: 270-389-5651
 Fax: 270-389-5303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RALPH A MATACALE · (Male)

NPI Number 1720041353
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/06/2006
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12009711
  • KY License # 6665
  • IN Medicaid 200262160B
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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