Individual
DR. MATTHEW JOHN AVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6040 MESA RIDGE PKWY, COLORADO SPRINGS, CO 80911-2568
(719) 382-4936
Mailing address
729 W US HIGHWAY 50, PUEBLO, CO 81008-1603
(719) 666-3580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204052
CO
1223G0001X
General Practice Dentistry
2021047640
MO
Other
Enumeration date
06/18/2019
Last updated
02/11/2022
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