Paul T. Matlock, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015728 Issued in MO

Legal business name

PAUL T. MATLOCK, DDS PC

Practice address

1321 SW Market St
Lees Summit, MO 64081-2904

Phone

(816) 246-4920

Fax

(816) 246-4970

NPI assigned

Jun 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Thomas Matlock, D.D.S.NPI 1174740997

Title

President

Phone

(816) 246-4920

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Thomas Matlock, D.D.S.

  • Dentist
  • Lee's Summit, MO
  • NPI 1174740997
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689877094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812904",
            "telephone_number": "816-246-4920",
            "fax_number": "816-246-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812904",
            "telephone_number": "816-246-4920",
            "fax_number": "816-246-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T. MATLOCK, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-246-4920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaishali Bhavin Patel, M.D.
• Meghan Krish Patni, M.D
• Patricia E Jones Allergy and Asthma Center PC
• Patrick Schambers Chiropractic, P.C. (Show-Me Chiropractic, P.C.)
• Jina L. Patton, ACNP-PP
• Adam Paul
• Kate Marie Pavlica, LPC
• Andrew Sinclair Pavlovich, M.D.
• Carly Payne, PA-C
• Edith A Payne, CRNA

• General Practice Dentistry in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.