# MATTHEWS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mattydale Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811705528
- **Authorized official:** DR. STANLEY E MATTHEWS DDS, MS (PRESIDENT/SURGEON)
- **Authorized official phone:** (732) 567-6895

## Contact information

- **Practice address:** 124 NORTHERN LIGHTS DR \# 1, SYRACUSE, NY 13212-4113
- **Practice address phone:** (732) 567-6895
- **Mailing address:** 124 NORTHERN LIGHTS DR \# 1, SYRACUSE, NY 13212-4113
- **Mailing address phone:** (732) 567-6895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2024
- **Last updated:** 12/27/2024