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Dr. Jeremy Isak Matis, DDS
Student in an Organized Health Care Education/Training Program in Grand Forks Afb, North Dakota
NPI 1053685008

Jeremy Isak Matis is a Student in an Organized Health Care Education/Training Program based in Grand Forks Afb, ND. Jeremy Isak Matis practices in Grand Forks Afb, ND and has the professional credentials of DDS. The NPI Number for Jeremy Isak Matis is 1053685008 and holds a License No. 12011813A (North Dakota).

The current practice location address for Jeremy Isak Matis is 319Th Medical Group, Grand Forks Afb, ND and can be reached out via phone at 701-747-3772. You can also correspond with Jeremy Isak Matis through the mailing address at 319TH MEDICAL GROUP, GRAND FORKS AFB, ND - 58205-6332 (mailing address contact number: ).

Location: 319Th Medical Group, Grand Forks Afb, ND, 58205-6332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053685008
Provider Name
Jeremy Isak Matis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
319Th Medical Group, Grand Forks Afb, ND, 58205-6332
Phone Number
701-747-3772
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
319Th Medical Group
City
Grand Forks Afb
State
North Dakota
Zip
58205-6332
Phone Number
701-747-3772
Fax Number
person
Provider Business Mailing Address Details
Address
319Th Medical Group
City
Grand Forks Afb
State
North Dakota
Zip
58205-6332
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12011813A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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