# MATTHEW S. CLEGG, DDS, MS, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clearwater Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750644498
- **Authorized official:** MATTHEW S CLEGG D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (509) 758-4181

## Contact information

- **Practice address:** 802 7TH ST, CLARKSTON, WA 99403-2022
- **Practice address phone:** (509) 758-4181
- **Practice address fax:** (509) 758-4756
- **Mailing address:** 802 7TH ST, CLARKSTON, WA 99403-2022
- **Mailing address phone:** (509) 758-4181
- **Mailing address fax:** (509) 758-4756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE00010180 | WA | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 06/18/2012