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NPI Code Detail

MEDICARE: ALVIN C MATTHEWS DDS PC

MEDICARE: ALVIN C MATTHEWS DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4827AZ

General Provider Information

NPI Number : 1386632719
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALVIN C MATTHEWS DDS PC
Provider Business Mailing Address
First Line : 7777 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5712
Country : US
Telephone Number : 623-937-0267
Fax Number : 623-847-3737
Provider Business Practice Location Address
First Line : 7777 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5712
Country : US
Telephone Number : 623-937-0267
Fax Number : 623-847-3737
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALVIN CHARLES MATTHEWS
Credential : DDS
Telephone Number : 623-937-0267
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/22/2020

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Directions to “ALVIN C MATTHEWS DDS PC ” Practice Location

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