Individual
DR. MATTHEW RYAN MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19824 W CATAWBA AVE STE B, CORNELIUS, NC 28031-4046
(704) 987-9087
Mailing address
1100 SOUTH BLVD APT 405, CHARLOTTE, NC 28203-6520
(828) 301-2875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10291
SC
1223G0001X
General Practice Dentistry
Primary
12783
NC
Other
Enumeration date
06/17/2022
Last updated
03/20/2023
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