NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MATTHEW P DALE, DDS
21410 136TH AVE NORTH SUITE #109
ROGERS, MN55374
 Phone: 763-428-2217
 Fax: 763-428-8586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MATTHEW P DALE · (Male)

NPI # 1003028861
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/04/2007
Last updated 07/03/2019 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MN License # D10980
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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