Organization
PEDIATRIC DENTISTRY OF MATTHEWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA METHENEY (OFFICE MANAGER)
(704) 847-4717
Entity
Organization
Contact information
Practice address
1340 MATTHEWS TOWNSHIP PKWY, SUITE 201, MATTHEWS, NC 28105-5580
(704) 847-4717
Mailing address
1340 MATTHEWS TOWNSHIP PKWY, SUITE 201, MATTHEWS, NC 28105-5580
(704) 847-4717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890103X
—
NC
Enumeration date
07/19/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us