Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DAVID PAVLICK, D.D.S., M.D.
Active Sole ProprietorDR. MATTHEW DAVID PAVLICK, D.D.S., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in KENT, Ohio. NPI 1568796191 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · KENT, OH
Registration Details
- NPI Number
- 1568796191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2009 (16.830630211918 yrs)
- Last Updated
- Oct 6, 2011
- Licenses
-
35-097190 (OH)30-023385 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1551 S WATER STKENT, OH, 442404441Browse OH providers · Browse ZIP 44240
- Phone
- 3306786564
- Fax
- 3306766973
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.