Individual
DR. SCOTT L MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, BS
Contact information
Practice address
3125 N MAIN ST, #3, NORTH LOGAN, UT 84341-1547
(435) 239-7212
(435) 535-2464
Mailing address
3125 N MAIN ST, #3, NORTH LOGAN, UT 84341-1547
(435) 239-7212
(435) 535-2464
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8227102-9924
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS037272
PA
Other
Enumeration date
04/15/2008
Last updated
09/13/2012
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