Provider Demographics
NPI:1699915850
Name:AVRIT, MATTHEW (DMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:AVRIT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 OXFORD GLN STE 500
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8695
Mailing Address - Country:US
Mailing Address - Phone:615-595-5959
Mailing Address - Fax:615-595-5966
Practice Address - Street 1:2090 OXFORD GLN STE 500
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8695
Practice Address - Country:US
Practice Address - Phone:615-595-5959
Practice Address - Fax:615-595-5966
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN86851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice