National Provider Identifier Database

MATTHEW KRIVARCHKA
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

MATTHEW KRIVARCHKA
1511 W. HOLLY BOULEVARD
BRANDON, SD57005
Phone: 605-582-5000
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MATTHEW KRIVARCHKA

NPI Number 1356577159
Credentials
Entity Individual
Enumeration date 06/08/2009
Last updated 11/02/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • SD License #: DO911
  • SD Medicaid: 1760738967
Hospital affiliation n/a

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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