Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW CARMODY
Active Sole ProprietorMATTHEW CARMODY is a Dentist healthcare provider located in BRIDGEPORT, Washington. NPI 1104371483 is currently active in the NPPES registry. Verify at CMS.
Dentist · BRIDGEPORT, WA
Registration Details
- NPI Number
- 1104371483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2016 (9.9682523103467 yrs)
- Last Updated
- Aug 17, 2016
- License
-
DE60674038 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 COLUMBIABRIDGEPORT, WA, 98813Browse WA providers · Browse ZIP 98813
- Phone
- 5094225700
- Fax
- 5094227680
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BRIDGEPORT, WA
| Name | Credential | NPI |
|---|---|---|
| TONY YE YAN | DDS | 1275019655 |
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.