Provider Demographics
NPI:1912797168
Name:CHIN, MATTHEW ALEXANDER (DMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALEXANDER
Last Name:CHIN
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 CRAWFORD ST APT PH28
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6800
Mailing Address - Country:US
Mailing Address - Phone:713-788-4025
Mailing Address - Fax:
Practice Address - Street 1:7500 CAMBRIDGE ST STE 6510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2032
Practice Address - Country:US
Practice Address - Phone:713-486-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program