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1548866932 NPI number — MATTHEW RYAN YARMOSKY DDS

NPI Number: 1548866932
Health Care Provider/Practitioner: MATTHEW RYAN YARMOSKY DDS

Information about “1548866932” NPI (MATTHEW RYAN YARMOSKY DDS) exists in 1548866932 in HTML format HTML  |  1548866932 in plain Text format TXT  |  1548866932 in PDF (Portable Document Format) PDF  |  1548866932 in an XML format XML  formats.

NPI Number : 1548866932 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548866932",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YARMOSKY",
    "FirstName": "MATTHEW",
    "MiddleName": "RYAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10226 BRIGHTON RIDGE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21044-4948",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-593-9464",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "265 BALTIMORE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTMINSTER",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21157",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-861-2194",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/10/2020",
    "LastUpdateDate": "12/10/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "17060",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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