| Matthews Dental Group | |
|
1509 Emerald Pkwy Ste 105 College Station TX 77845-5502 | |
| (979) 696-8681 | |
| Not Available |
| Full Name | Matthews Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1509 Emerald Pkwy Ste 105, College Station, Texas |
| Authorized Official Name and Position | Jacob Alexander Rendon (PRESIDENT) |
| Authorized Official Contact | 8062061339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthews Dental Group 1509 Emerald Pkwy Ste 105 College Station TX 77845-5502 Ph: (979) 696-8681 | Matthews Dental Group 1509 Emerald Pkwy Ste 105 College Station TX 77845-5502 Ph: (979) 696-8681 |
| NPI Number | 1316736879 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316736879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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