Dr. Matthew Patrick Dale
Dentist - General Practice
21410 136th Ave North Suite #109
Rogers
, Minnesota 55374
Dr. Matthew Patrick Dale
Dentist - General Practice
21410 136th Ave North Suite #109
Rogers
, Minnesota 55374
(763) 428-8586
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Matthew Patrick Dale
- 21410 136th Ave North Suite #109
- Rogers, MN
- Zip : 55374
- Fax : (763) 428-8586
- Phone : (763) 428-2217
Second Address
- Dr. Matthew Patrick Dale
- 21410 136th Ave North Suite #109
- Rogers, MN
- Zip : 55374
- Fax : (763) 428-8586
- Phone : (763) 428-2217
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | D10980 | MN |
| Y | 213EG0000X | General Practice | D10980 | MN |
National Provider Identifier
| NPI | 1003028861 |
|---|---|
| Provider Name | Dr. Matthew Patrick Dale |
| First Address | Rogers, MN 55374 |
| Second Address | Rogers, MN 55374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 03/07/2019 |
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.