Matthew Christian Alvarez, D.M.D., M.S.
Individual provider Active NPI Dentist · Fayetteville, GA
NPI 1962870030 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1962870030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN015028 (GA)
- Practice address
- 113 Ebenezer Rd Ste 101
Fayetteville, GA 30215 - Phone
- (402) 500-0218
- NPI assigned
- Sep 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015028 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodstock Dentistry, PC | Past | Accepting new patients | |
| North Decatur Dentistry, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015028 | GA | Yes |
Addresses
Primary practice location
113 Ebenezer Rd Ste 101
Fayetteville, GA 30215
Mailing address
200 Tinsley Mill Rd
Peachtree City, GA 30269-1351
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. 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.