Individual
STEPHEN R MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PS
Contact information
Practice address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336
(509) 783-5000
(509) 783-8349
Mailing address
5000 W CLEARWATER AVE, KENNEWICK, WA 99336
(509) 783-5000
(509) 783-8349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00004645
WA
126800000X
Dental Assistant
DE00008483
WA
126800000X
Dental Assistant
Primary
DE00010578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408285
UNITED CONCORDIA
—
01
—
4645
WDS
—
05
—
5510003
—
WA
Enumeration date
11/06/2006
Last updated
09/11/2025
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