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NPI Code Detail

MEDICARE: MATTHEW CROSS DDS

MEDICARE: MATTHEW CROSS DDS
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
1122300000XDentist37280TX

General Provider Information

NPI Number : 1629647524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CROSS DDS
Provider Business Mailing Address
First Line : 3716 DUSTIN TRL
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-3936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W BAILEY BOSWELL RD
Second Line :
City : SAGINAW
State : TX
Zip : 76179-1007
Country : US
Telephone Number : 817-367-6453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/24/2021

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Directions to “ MATTHEW CROSS DDS” Practice Location

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