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General NPI Number Information
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NPI Number | 1881266542
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Entity Type | Individual
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Provider Name | ALEC STEVEN MATHEWS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 12/08/2025
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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 | 563-659-3411
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Fax |
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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 | 563-659-3411
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-09890
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License Number State | IA
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