Individual
JEFFREY J. MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
36220 TOWER DR, WHITEHALL, WI 54773-0005
(715) 538-1800
(715) 538-1805
Mailing address
PO BOX 5, WHITEHALL, WI 54773-0005
(715) 538-1800
(715) 538-1805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5350-015
WI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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