DR. JEREMY MATIS, DDS
Dentist - General Practice
Active
Individual
NPI: 1053685008
Practice Address
92D MEDICAL GROUP701 HOSPITAL LOOP, SUITE 350
Fairchild Afb, WA 99011
Phone: (095) 247-4770
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | 12011813A (IN) |
Frequently Asked Questions
NPI 1053685008 is the National Provider Identifier for DR. JEREMY MATIS, DDS, a Dentist - General Practice provider located in Fairchild Afb, WA. This NPI was enumerated on March 7, 2012.
DR. JEREMY MATIS, DDS practices at 92D MEDICAL GROUP, 701 HOSPITAL LOOP, SUITE 350, Fairchild Afb, WA 99011.
Quick Facts
- NPI
- 1053685008
- Type
- Individual
- Enumerated
- Mar 7, 2012
- Last Updated
- Jun 25, 2024
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