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Dr. Jeremy Isak Matis, DDS
General Practice Dentistry in Fairchild Afb, Washington
NPI 1053685008

Jeremy Isak Matis is a General Practice Dentistry based in Fairchild Afb, WA and is specialized in General Practice. Jeremy Isak Matis practices in Fairchild Afb, WA and has the professional credentials of DDS. The NPI Number for Jeremy Isak Matis is 1053685008 and holds a License No. (Washington).

The current practice location address for Jeremy Isak Matis is 92D Medical Group, Fairchild Afb, WA and can be reached out via phone at 095-247-4770.

Location: 92D Medical Group, Fairchild Afb, WA, 99011
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
92D Medical Group, Fairchild Afb, WA, 99011
Phone Number
095-247-4770
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
92D Medical Group
City
Fairchild Afb
State
Washington
Zip
99011
Phone Number
095-247-4770
Fax Number
person
Provider Business Mailing Address Details
Address
92D Medical Group
City
Fairchild Afb
State
Washington
Zip
99011
Phone Number
095-247-4770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12011813A (Indiana)
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.
()
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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