MEDICARE: DR. MATTHEW AARON PAPSIN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901019649	MI

General Provider Information

NPI Number	:	1003015181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW AARON PAPSIN DMD

Provider Business Mailing Address
First Line	:	1000 W UNIVERSITY DR STE 316
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	610-659-4144
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W UNIVERSITY DR STE 316
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	610-659-4144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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