Individual
DR. MATTHEW C POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
668 FAIRVIEW RD STE B, SIMPSONVILLE, SC 29680-6708
(864) 881-7098
Mailing address
225 KILGORE CIR, SIMPSONVILLE, SC 29681-4835
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
051226
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9514
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS038197
PA
Other
Enumeration date
05/24/2007
Last updated
12/24/2020
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