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NPI 1326996398

NPI 1326996398 : SEAN L. MATHEWS DMD : KENNEWICK, WA

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General NPI Number Information
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    NPI Number           |    1326996398
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEAN L. MATHEWS DMD 
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Dates
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    Enumeration Date     |    03/17/2026
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    Last Update Date     |    03/17/2026
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Provider Practice Location Address
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    Address Line         |    5025 W CLEARWATER AVE 
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    City                 |    KENNEWICK
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    State                |    WA
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    Zip                  |    99336-1911
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    Country              |    US
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    Telephone            |    509-783-0822
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    Fax                  |    509-736-3504
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Provider Business Mailing Address
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    Address Line         |    5025 W CLEARWATER AVE 
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    City                 |    KENNEWICK
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    State                |    WA
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    Zip                  |    99336-1911
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    Country              |    US
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    Telephone            |    509-783-0822
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    Fax                  |    509-736-3504
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     SEAN  MATHEWS 
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    Credential           |    DMD
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    Telephone            |    509-783-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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