Individual
DR. MATTHEW E MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3162 STATE ST, MEDFORD, OR 97504
(541) 779-7799
(541) 779-7810
Mailing address
3162 STATE ST, MEDFORD, OR 97504-8450
(541) 779-7799
(541) 779-7810
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10645
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
BD6377712-1392
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727747
—
OR
Enumeration date
05/03/2013
Last updated
06/26/2018
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