Individual
DR. DEXTER WITHERINGTON MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
149 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0514
(912) 266-8100
(912) 266-8125
Mailing address
149 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0514
(912) 266-8100
(912) 266-8125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN015216
GA
Other
Enumeration date
06/07/2016
Last updated
01/29/2025
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