Mattheis Hartford Dental Clinic, P.C.
Organization Active NPI Dentist · Hartford, SD
NPI 1962830455 · NPPES record last updated Oct 22, 2013
Key facts
- NPI
- 1962830455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- M-733 (SD)
- Legal business name
- MATTHEIS HARTFORD DENTAL CLINIC, P.C.
- Practice address
- 304 W. Hwy 38 Suite #138
Hartford, SD 57033-0757 - Phone
- (605) 528-6750
- Fax
- (605) 528-6752
- NPI assigned
- Oct 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott Mark Mattheis, D.D.S.
- Title
- President
- Phone
- (605) 528-6750
Practitioners 3
-
Scott Mark Mattheis, D.D.S.
-
Kimberly Jean Bork, D.M.D.
-
Mariah Leeann Oyen, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | M-733 | SD | Yes |
Addresses
Primary practice location
304 W. Hwy 38 Suite #138
Hartford, SD 57033-0757
Mailing address
PO Box 757
304 W. Hwy 38 Suite #138
Hartford, SD 57033-0757
Phone (605) 528-6750
Other names
- Hartford Dental Clinic, P.C.
Other providers in Hartford, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.