Provider Demographics
NPI:1306960703
Name:FINKELSON, MATHEW DAVID (DMD, MMSC)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:DAVID
Last Name:FINKELSON
Suffix:
Gender:M
Credentials:DMD, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 GEORGETOWN CT
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1560
Mailing Address - Country:US
Mailing Address - Phone:609-927-1084
Mailing Address - Fax:609-653-9071
Practice Address - Street 1:2400 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1409
Practice Address - Country:US
Practice Address - Phone:609-645-1559
Practice Address - Fax:609-645-0099
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ139251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics