Healthcare Provider Details

I. General information

NPI: 1598096380
Provider Name (Legal Business Name): TERRI JONES MATTHEWS D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 KENNEDY ST NW
WASHINGTON DC
20011-5227
US

IV. Provider business mailing address

8106 FOREVER GREEN CT
ELKRIDGE MD
21075-6477
US

V. Phone/Fax

Practice location:
  • Phone: 443-326-3606
  • Fax:
Mailing address:
  • Phone: 443-326-3606
  • Fax: 202-806-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN5054
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: