Individual
DR. MATTHEW D JERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1030 29TH AVE SW, ALBANY, OR 97321-3416
(541) 924-1190
Mailing address
1030 29TH AVE SW, ALBANY, OR 97321-3416
(541) 924-1190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8638
OR
1223E0200X
Endodontics
Primary
D8638
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000777005
REGENCE BSBSO
OR
Enumeration date
12/27/2006
Last updated
05/01/2026
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