Michael David Matthews, DDS
Individual provider Active NPI Dentist · Burnet, TX
NPI 1104897875 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104897875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11618 (TX)
- Practice address
- 811 N Water
Burnet, TX 78611 - Phone
- (512) 756-4256
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11618 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11618 | TX | Yes |
Addresses
Primary practice location
811 N Water
Burnet, TX 78611
Mailing address
PO Box 1100
Burnet, TX 78611
Phone (512) 756-4256
Other providers in Burnet, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.