Organization
BRUCE E. MATTHEWS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E. MATTHEWS D.D.S. (PRESIDENT)
(302) 475-9220
Entity
Organization
Contact information
Practice address
1403 SILVERSIDE RD, SUITE A, WILMINGTON, DE 19810-4434
(302) 475-9220
(302) 475-9210
Mailing address
1403 SILVERSIDE RD, SUITE A, WILMINGTON, DE 19810-4434
(302) 475-9220
(302) 475-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0000855
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040888
—
DE
Enumeration date
11/01/2006
Last updated
08/22/2020
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