Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW SCOTT STANDRIDGE, D.D.S.
ActiveDental Public Health · POTOSI, MO
Registration Details
- NPI Number
- 1255650529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2010 (15.908756045709 yrs)
- Last Updated
- Aug 5, 2011
- Licenses
-
2010016150 (MO)60776 (KS)60776 (KS)
Practice Information
- Address
-
1 SOUTHTOWNE DRPOTOSI, MO, 636645729Browse MO providers · Browse ZIP 63664
- Phone
- 5734388401
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
- Additional Specialty
- General Dentistry
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.