DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW RICHARD CARLISLE, DMD

Active

MATTHEW RICHARD CARLISLE, DMD is a Dentist healthcare provider located in INDIAN LAND, South Carolina. NPI 1639586456 is currently active in the NPPES registry. Verify at CMS.

Dentist · INDIAN LAND, SC

Registration Details

NPI Number
1639586456
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2014 (11.910807789884 yrs)
Last Updated
Nov 19, 2015
Licenses
#9830 (NC)
8492 (SC)

Practice Information

Address
1028 EDGEWATER CORPORATE PKWY
INDIAN LAND, SC, 29707
Browse SC providers · Browse ZIP 29707
Phone
8033890197
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in INDIAN LAND, SC

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.