Provider Demographics
NPI:1154544633
Name:ROBERT MATTHEWS, D.D.S., A.P.C.
Entity type:Organization
Organization Name:ROBERT MATTHEWS, D.D.S., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-561-7110
Mailing Address - Street 1:9138 ARLON ST
Mailing Address - Street 2:SUITE B3
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3822
Mailing Address - Country:US
Mailing Address - Phone:907-561-7110
Mailing Address - Fax:907-563-6524
Practice Address - Street 1:9138 ARLON ST
Practice Address - Street 2:SUITE B3
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3822
Practice Address - Country:US
Practice Address - Phone:907-561-7110
Practice Address - Fax:907-563-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7171223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty