Organization
MATTHEW P MCMASTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW P MCMASTERS DDS (DENTIST)
(931) 424-7250
Entity
Organization
Contact information
Practice address
403 E COLLEGE ST, PULASKI, TN 38478-4315
(931) 424-7250
(931) 363-0149
Mailing address
403 E COLLEGE ST, PULASKI, TN 38478-4315
(931) 424-7250
(931) 363-0149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3207426
—
TN
01
—
4013164
BCBS
TN
Enumeration date
07/11/2011
Last updated
07/11/2011
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