Dr. Matthew David Pavlick
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1551 S Water St
Kent
, Ohio 44240-4441
Dr. Matthew David Pavlick
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1551 S Water St
Kent
, Ohio 44240-4441
(330) 676-6973
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Matthew David Pavlick
- 1551 S Water St
- Kent, OH
- Zip : 44240-4441
- Fax : (330) 676-6973
- Phone : (330) 678-6564
Second Address
- Dr. Matthew David Pavlick
- 1551 S Water St
- Kent, OH
- Zip : 44240-4441
- Fax : (330) 676-6973
- Phone : (330) 678-6564
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 30-023385 | OH |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 35-097190 | OH |
National Provider Identifier
| NPI | 1568796191 |
|---|---|
| Provider Name | Dr. Matthew David Pavlick |
| First Address | Kent, OH 44240-4441 |
| Second Address | Kent, OH 44240-4441 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2009 |
| Last Update Date | 06/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.