Organization
MATTHEW HEARN LTD
Active
Other names
Matthew Hearn Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WILLIAM HEARN DDS, MD (ORAL SURGEON)
(504) 220-7344
Entity
Organization
Contact information
Practice address
3204 LANCER ST STE B, PORTAGE, IN 46368-4491
(219) 762-1806
(219) 763-9979
Mailing address
3712 LAKE HURON DR APT 104, VALPARAISO, IN 46383-6746
(504) 220-7344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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