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Dr. Matthew Gregory Boothe, DDS
Pediatric Dentist in Wasilla, Alaska
NPI 1104239136

Matthew Gregory Boothe is a Pediatric Dentist based in Wasilla, AK and is specialized in Pediatric Dentistry. Matthew Gregory Boothe practices in Wasilla, AK and has the professional credentials of DDS. The NPI Number for Matthew Gregory Boothe is 1104239136 and holds a License No. 30627 (Alaska).

The current practice location address for Matthew Gregory Boothe is 3470 E Meridian Park Loop, Wasilla, AK and can be reached out via phone at 907-373-8684. You can also correspond with Matthew Gregory Boothe through the mailing address at 2924 E ODSATHER CIR, WASILLA, AK - 99654-7294 (mailing address contact number: 210-710-9296).

Location: 3470 E Meridian Park Loop, Wasilla, AK, 99654-7294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104239136
Provider Name
Matthew Gregory Boothe
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3470 E Meridian Park Loop, Wasilla, AK, 99654-7294
Phone Number
907-373-8684
Fax Number
Provider Enumeration Date
06/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3470 E Meridian Park Loop
City
Wasilla
State
Alaska
Zip
99654-7294
Phone Number
907-373-8684
Fax Number
person
Provider Business Mailing Address Details
Address
3470 E Meridian Park Loop
City
Wasilla
State
Alaska
Zip
99654-7294
Phone Number
907-373-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
109471 (Alaska)
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
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30627 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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