Individual
BRUCE ANDREW MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MDS
Contact information
Practice address
1225 SOUTH MAIN ST, WELLINGTON SQUARE SUITE 106, GREENSBURG, PA 15601
(724) 836-4452
(724) 836-1562
Mailing address
1225 SOUTH MAIN ST, WELLINGTON SQUARE SUITE 106, GREENSBURG, PA 15601
(724) 836-4452
(724) 836-1562
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS025197L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564448
UNITED CONCORDIA
PA
Enumeration date
02/11/2008
Last updated
02/11/2008
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