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NPI 1831981752

NPI 1831981752 : ALEC MATHEWS DDS PC : DE WITT, IA

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General NPI Number Information
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    NPI Number           |    1831981752
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEC MATHEWS DDS PC 
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Dates
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    Enumeration Date     |    05/19/2025
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    907 11TH ST 
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    City                 |    DE WITT
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    State                |    IA
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    Zip                  |    52742-1207
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    Country              |    US
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    Telephone            |    319-931-4387
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    Fax                  |    563-659-2831
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Provider Business Mailing Address
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    Address Line         |    907 11TH ST 
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    City                 |    DE WITT
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    State                |    IA
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    Zip                  |    52742-1207
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    Country              |    US
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    Telephone            |    319-931-4387
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ALEC STEVEN MATHEWS 
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    Credential           |    DDS
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    Telephone            |    319-931-4387
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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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