Healthcare Provider Details

I. General information

NPI: 1437674835
Provider Name (Legal Business Name): DAVID MATNEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N QUINCY ST STE 230
ARLINGTON VA
22203-1708
US

IV. Provider business mailing address

800 PARKER AVE
FALLS CHURCH VA
22046-3010
US

V. Phone/Fax

Practice location:
  • Phone: 703-229-8565
  • Fax:
Mailing address:
  • Phone: 703-626-6872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401008642
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: