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Contact Information

MATTHEW R WIMMER, DMD
6690 S. BROADWAY
CENTENNIAL, CO80121
 Phone: 303-794-6339
 Fax: 248-967-7794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for MATTHEW R WIMMER · (Male)

NPI Number 1033349774
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/15/2009
Last updated 06/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DEN-10144
  • MI License # 2901020070
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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