Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH D MATTHEWS JR.
Active Sole ProprietorJOSEPH D MATTHEWS JR. is a 1223X2210X healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1710984695 is currently active in the NPPES registry. Verify at CMS.
1223X2210X · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1710984695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (21.119776523934 yrs)
- Last Updated
- Jan 23, 2024
- Licenses
-
D008997 (AZ)DD1673 (NM)DN123016 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2415 W PARK PLACE BLVDSTONE MOUNTAIN, GA, 300873566Browse GA providers · Browse ZIP 30087
- Phone
- 4709861004
- Primary Specialty
-
1223X2210X
1223X2210X
- Additional Specialty
- General Dentistry
- Additional Specialty
- 1223X2210X
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.