Dr. Matthew Scott Standridge
Dental Public Health Dentist - General Practice
1 Southtowne Dr
Potosi
, Missouri 63664-5729
Dr. Matthew Scott Standridge
Dental Public Health Dentist - General Practice
1 Southtowne Dr
Potosi
, Missouri 63664-5729
(620) 342-7790
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Matthew Scott Standridge
- 420 W 15th Ave
- Emporia, KS
- Zip : 66801-5367
- Fax : (620) 342-7790
- Phone : (620) 342-4864
Second Address
- Dr. Matthew Scott Standridge
- 1 Southtowne Dr
- Potosi, MO
- Zip : 63664-5729
- Phone : (573) 438-8401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 2010016150 | MO |
| Y | 1223D0001X | Dental Public Health | 60776 | KS |
| N | 1223G0001X | General Practice | 60776 | KS |
| N | 213EG0000X | General Practice | 60776 | KS |
National Provider Identifier
| NPI | 1255650529 |
|---|---|
| Provider Name | Dr. Matthew Scott Standridge |
| First Address | Emporia, KS 66801-5367 |
| Second Address | Potosi, MO 63664-5729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2010 |
| Last Update Date | 05/08/2011 |
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.