Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY ISAK MATIS, DDS
ActiveDR. JEREMY ISAK MATIS, DDS is a General Dentistry healthcare provider located in FAIRCHILD AFB, Washington. NPI 1053685008 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FAIRCHILD AFB, WA
Registration Details
- NPI Number
- 1053685008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2012 (14.447612592091 yrs)
- Last Updated
- Jun 25, 2024
- License
-
12011813A (IN)
Practice Information
- Address
-
92D MEDICAL GROUP701 HOSPITAL LOOP, SUITE 350FAIRCHILD AFB, WA, 99011Browse WA providers · Browse ZIP 99011
- Phone
- 0952474770
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in FAIRCHILD AFB, WA
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT ANDREW MAZANEC | DDS | 1063415917 |
| ALYSSA MANN | — | 1760931216 |
| HEATHER MARIE BAUGHMAN | DDS | 1396379335 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.