National Provider Identifier Database

MATTHEW KIKUCHI DMD PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

MATTHEW KIKUCHI DMD PLLC
5765 S FORT APACHE RD STE 110
LAS VEGAS, NV89148-5625
Phone: 702-876-6337
Fax: 702-876-2988
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MATTHEW KIKUCHI DMD PLLC

NPI Number 1780051367
Legal business name
LBN
MATTHEW KIKUCHI DMD PLLC
Authorized official MATTHEW KIKUCHI - (SOLE MEMBER)
Entity Organization
Organization subpart No
Enumeration date 08/31/2015
Last updated 07/19/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: S2-138

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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