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Individual
DR. ANDREW THOMAS MATHIS
Active
Individual
DR. ANDREW THOMAS MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9018
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18894
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9018
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9018
SC
Other
Enumeration date
05/22/2017
Last updated
10/11/2026
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