# JOHN L. MATNEY ORTHODONTIST, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447515069
- **Authorized official:** DR. JOHN L. MATNEY D.D.S. (OWNER, PRESIDENT)
- **Authorized official phone:** (757) 596-8210

## Contact information

- **Practice address:** 12528 WARWICK BLVD, NEWPORT NEWS, VA 23606-2676
- **Practice address phone:** (757) 596-8210
- **Practice address fax:** (757) 596-3070
- **Mailing address:** 12528 WARWICK BLVD, NEWPORT NEWS, VA 23606-2676
- **Mailing address phone:** (757) 596-8210
- **Mailing address fax:** (757) 596-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 03265 | VA | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012