| Dr Matthew Daniel Carraway, DDS | |
|
901 N Grant Ave Ste 105b, Odessa, TX 79761-4054 | |
| (432) 699-2044 | |
| Not Available |
| Full Name | Dr Matthew Daniel Carraway |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 901 N Grant Ave Ste 105b, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003222761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 33854 (Texas) | Primary |
| Entity Name | Tri State Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285002634 PECOS PAC ID: 4486955341 Enrollment ID: O20151217001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Daniel Carraway, DDS 901 N Grant Ave Ste 105b, Odessa, TX 79761-4054 Ph: (432) 699-2044 | Dr Matthew Daniel Carraway, DDS 901 N Grant Ave Ste 105b, Odessa, TX 79761-4054 Ph: (432) 699-2044 |
Dr. Ronald J. Carr, D.D.S., M.S., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4917 Plaza At Parkway, Odessa, TX 79762 Phone: 432-362-4374 Fax: 432-367-6046 | |
Soheil Karbassi, Dentist Medicare: Medicare Enrolled Practice Location: 4901 E 42nd St Ste B, Odessa, TX 79762 Phone: 432-242-8827 | |
Christopher R Jackson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3930 Tanglewood Ln, Odessa, TX 79762 Phone: 432-366-0896 | |
Robin D Rutherford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4712 E University, Odessa, TX 79762 Phone: 432-367-0202 Fax: 432-367-0636 | |
Kenneth Welby Higgins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2631 Faudree Rd Unit B, Odessa, TX 79765 Phone: 432-563-1760 Fax: 432-563-1763 | |
Marlene Helen Schiller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4101 East 42nd, Ste B23 #27, Odessa, TX 79762 Phone: 432-363-4867 Fax: 432-363-1799 |