Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BARRY ROBERT MATHESON, D.D.S., M.S.D.
ActiveDR. BARRY ROBERT MATHESON, D.D.S., M.S.D. is a Periodontology healthcare provider located in BRISTOL, Virginia. NPI 1639396989 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BRISTOL, VA
Registration Details
- NPI Number
- 1639396989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.279877636116 yrs)
- Last Updated
- Aug 1, 2007
- Licenses
-
0401006603 (VA)DS0000005057 (TN)14875 (TX)
Practice Information
- Address
-
817 GATE CITY HIGHWAYBRISTOL, VA, 24201Browse VA providers · Browse ZIP 24201
- Phone
- 2766691231
- Fax
- 2764666872
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
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.