Individual
DR. TIMOTHY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1740 S SPANISH SUN WAY, MERIDIAN, ID 83642-8024
(208) 370-5620
Mailing address
1740 S SPANISH SUN WAY, MERIDIAN, ID 83642-8024
(208) 370-5620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002647
WI
122300000X
Dentist
Primary
DE61404678
WA
1223G0001X
General Practice Dentistry
D-5368
ID
Other
Enumeration date
07/16/2021
Last updated
05/29/2026
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