Individual
DR. MATTHEW ADAM ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5038
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10875
KY
122300000X
Dentist
Primary
15113
MD
Other
Enumeration date
08/19/2011
Last updated
04/22/2026
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