Matthew Allen Stephenson, DDS
Individual provider Active NPI General Practice Dentistry · Brazoria, TX
NPI 1609986603 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1609986603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 15455 (TX)
- Practice address
- 819 S Market St
Brazoria, TX 77422-5679 - Phone
- (979) 798-4493
- Fax
- (979) 798-4883
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 15455 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Osga, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15455 | TX | Yes |
Addresses
Primary practice location
819 S Market St
Brazoria, TX 77422-5679
Mailing address
819 S Market St
Brazoria, TX 77422-5679
Phone (979) 798-4493
Other providers in Brazoria, TX
- Jennifer Mullis
- Adam Paul Osga
- Linda Janet Pearson
- Gabriela Polanco
- Liam Thomas Smith
- Vireon Equipment LLC
- West Brazos Dental Center Brazoria
- Samantha Hubbs York
All providers in Brazoria, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. 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.