Individual
MATTHEW L PINGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1967 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9172
(740) 587-7000
(740) 587-7004
Mailing address
1967 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9172
(740) 587-7000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.021882
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1641706
UNITED CONCORDIA
OH
05
—
2527886
—
OH
Enumeration date
11/01/2006
Last updated
08/31/2023
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