Organization
MATTHEWS DDS PC
Active
Other names
Mattydale Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY E MATTHEWS DDS, MS (PRESIDENT/SURGEON)
(732) 567-6895
Entity
Organization
Contact information
Practice address
124 NORTHERN LIGHTS DR # 1, SYRACUSE, NY 13212-4113
(732) 567-6895
Mailing address
124 NORTHERN LIGHTS DR # 1, SYRACUSE, NY 13212-4113
(732) 567-6895
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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