Individual provider · Type 1 NPI

Nicholas Rudolph Matack, DDS

Dentist · Duluth, MN

NPI number 1194020719 Active

Practice location

421 E 4th St
Duluth, MN 55805-1935

Mailing address

1415 Mississippi Ave
Duluth, MN 55811

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD13811 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1194020719

Nicholas Rudolph Matack, DDS's National Provider Identifier is 1194020719, issued on Jan 12, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Duluth, MN. The record was last updated on Dec 20, 2017.