Matthew Artho, DDS
Individual provider Active NPI Dentist · Bartonville, TX
NPI 1740563162 · NPPES record last updated Dec 29, 2012
Key facts
- NPI
- 1740563162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 27234 (TX)
- Practice address
- 74 McMakin Rd Ste 200
Bartonville, TX 76226-8438 - Phone
- (940) 455-7645
- Fax
- (940) 455-7488
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|
| 27234 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Lakes Family Dental | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27234 | TX | Yes |
Addresses
Primary practice location
74 McMakin Rd Ste 200
Bartonville, TX 76226-8438
Mailing address
74 McMakin Rd Ste 200
Bartonville, TX 76226-8438
Phone (940) 455-7645
Other providers in Bartonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2012. 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.