# DR. BENJAMIN TOLIVER MATTHEWS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134615321
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401416612 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 10882457-9922 | UT | — |

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 07/02/2019