Individual
MATTHEW ANTHONY EVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MMSC
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859422
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1859422
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
05/30/2025
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