Scott Allen Matzenbacher in Fort Sill - Periodontics

Scott Allen Matzenbacher - NPI 1770567653

Scott Allen Matzenbacher is a Periodontics in Fort Sill, Oklahoma. Scott Allen Matzenbacher practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Scott Allen Matzenbacher is 1770567653. The last update date is 2010-05-28.

Scott Allen Matzenbacher's current location address is Usa Dental Activity, Fort Sill, Oklahoma. You can contact this provider via phone number 5804423905 and fax number 5804424002. The mailing address for Scott Allen Matzenbacher is Usa Dental Activity, Fort Sill, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Allen Matzenbacher
Address Usa Dental Activity, Fort Sill, Oklahoma
Phone Number 5804423905
Fax Number 5804424002
Sole Proprietor Y
Credentials D.D.S.,M.S

NPI Number Detail

NPI Number 1770567653
Provider Enumeration Date 2005-12-03
Last Updated Date 2010-05-28

Provider Mailing Address Detail

Address Usa Dental Activity
City Fort Sill
State Oklahoma (OK)
Post Code 73503
Phone Number 5804423905
Fax Number 5804424002

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 7192
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Scott Allen Matzenbacher

What is the Scott Allen Matzenbacher's 1770567653?

The Scott Allen Matzenbacher's NPI (National Provider Identifier) Number is 1770567653. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Scott Allen Matzenbacher is physically located?

The Scott Allen Matzenbacher is situated at the following address: Usa Dental Activity, Fort Sill, OK 73503.

What is Scott Allen Matzenbacher's area of expertise and its corresponding taxonomy classification?

The Scott Allen Matzenbacher's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

When was the Scott Allen Matzenbacher's 1770567653 issued?

The Scott Allen Matzenbacher's 1770567653 was issued on 2005-12-03.

As of what date were the details related to Scott Allen Matzenbacher most recently updated or revised?

The information pertaining to Scott Allen Matzenbacher, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-28.

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