Individual
DR. NICOLE MARIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1009 HIGHWAY C, NEW HAVEN, MO 63068-1425
(573) 237-3038
Mailing address
1009 HIGHWAY C, NEW HAVEN, MO 63068-1425
(573) 237-3038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016017389
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/08/2016
Last updated
07/21/2022
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