Individual
DR. MATTHEW SCOTT STANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-8401
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 342-7790
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
2010016150
MO
1223D0001X
Public Health Dentistry
Primary
60776
KS
1223G0001X
General Practice Dentistry
60776
KS
Other
Enumeration date
05/25/2010
Last updated
08/05/2011
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