Organization
BARRY R. MATHESON, DDS, MSD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ROBERT MATHESON D.D.S., M.S.D. (PRESIDENT)
(276) 669-1231
Entity
Organization
Contact information
Practice address
817 GATE CITY HIGHWAY, BRISTOL, VA 24201
(276) 669-1231
(276) 466-6872
Mailing address
817 GATE CITY HIGHWAY, BRISTOL, VA 24201
(276) 669-1231
(276) 466-6872
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401006603
VA
1223P0300X
Periodontics
14875
TX
1223P0300X
Periodontics
DS0000005057
TN
Other
Enumeration date
04/19/2007
Last updated
08/01/2007
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