Provider Demographics
NPI:1730380957
Name:MCEACHRAN, MATTHEW S (DDS)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:S
Last Name:MCEACHRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3371 W CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-5040
Mailing Address - Country:US
Mailing Address - Phone:517-437-0055
Mailing Address - Fax:517-437-0515
Practice Address - Street 1:3371 W CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-5040
Practice Address - Country:US
Practice Address - Phone:517-437-0055
Practice Address - Fax:517-437-0515
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI161631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice