Matthew William Hearn, DDS MD Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Valparaiso, IN
- NPI
- 1609970979
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- 01060238A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-08
- Last updated
- 2021-12-16
Practice location
2005 Roosevelt Rd, Suite B
Valparaiso, IN 46383-2746
(219) 531-9293