IndividualActive
Matthew Cha
NPI 1063275394 · Dental Assistant · Kirksville, MO
Provider details
- NPI number
- 1063275394
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
500 W Jefferson St
Kirksville, MO 63501
Phone: (866) 626-2878
Approximate (ZIP-level) locationGet directions
Mailing address
2112 S High St Apt B
Kirksville, MO 63501-4756
Registry dates
- Enumerated
- 2024-01-31
- Last updated
- 2024-01-31
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.