Matthew Constantine Asters, DDS
Individual provider Active NPI General Practice Dentistry · New Albany, MS
NPI 1447869870 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1447869870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4155-20 (MS)
- Practice address
- 730 Coulter Dr
New Albany, MS 38652-2807 - Phone
- (662) 534-4397
- NPI assigned
- Jul 31, 2020
- 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 |
|---|---|---|---|
| 4155-20 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4155-20 | MS | Yes |
Addresses
Primary practice location
730 Coulter Dr
New Albany, MS 38652-2807
Mailing address
669 Owen Rd
New Albany, MS 38652-9405
Phone (662) 255-5587
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- Jessica Assaad
- Athletico LTD
- Cari Michelle Bailey
- James Bailey
- Robert Bailey
- Breanna Baldwin
All providers in New Albany, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. 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.