Healthcare Provider Details

I. General information

NPI: 1083518872
Provider Name (Legal Business Name): DESI MATTHEWS DDS 2 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5613 DURALEIGH RD STE 131
RALEIGH NC
27612-2694
US

IV. Provider business mailing address

5613 DURALEIGH RD STE 131
RALEIGH NC
27612-2694
US

V. Phone/Fax

Practice location:
  • Phone: 919-804-0749
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DESI MATTHEWS
Title or Position: PROSTHODONTIST
Credential: DDS
Phone: 910-218-0178