Individual
DR. MATTHEW C MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 HIGH POINT CT, SUITE 500, MT WASHINGTON, KY 40047-5528
(502) 538-2400
(502) 538-2403
Mailing address
211 HIGH POINT CT, SUITE 500, MT WASHINGTON, KY 40047-5528
(502) 538-2400
(502) 538-2403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
806
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100071020
—
KY
Enumeration date
09/13/2006
Last updated
03/26/2015
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