Michael S Mathews DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN14621 Issued in FL

Legal business name

MICHAEL S MATHEWS DMD PA

Practice address

2005 Thonotosassa Rd
Ste a
Plant City, FL 33563-2972

Phone

(813) 754-3794

Fax

(813) 754-1677

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Steven Mathews, DMDNPI 1215948385

Title

President

Phone

(813) 754-3794

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Mathews, DMD

  • Dentist
  • Plant City, FL
  • NPI 1215948385
  NPD (past) Authorized official

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1972048494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 THONOTOSASSA RD",
            "address_2": "STE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632972",
            "telephone_number": "813-754-3794",
            "fax_number": "813-754-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 THONOTOSASSA RD",
            "address_2": "STE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632972",
            "telephone_number": "813-754-3794",
            "fax_number": "813-754-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S MATHEWS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-754-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew James Miller, APRN
• Aaron Nathanial Mills, APRN
• Rachel Mills

• Dentist in Plant City, FL
• Providers in Plant City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.