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Dr. Evan Matthysse, DDS
Oral and Maxillofacial Surgery (Dentist) in Austin, Texas
NPI 1205296803

Evan Matthysse is a Oral and Maxillofacial Surgery (Dentist) based in Austin, TX and is specialized in Oral and Maxillofacial Surgery. Evan Matthysse practices in Austin, TX and has the professional credentials of DDS. The NPI Number for Evan Matthysse is 1205296803 and holds a License No. 22DI02685300 (Texas).

The current practice location address for Evan Matthysse is 4419 Frontier Trl Ste 104, Austin, TX and can be reached out via phone at 917-817-0803.

Location: 4419 Frontier Trl Ste 104, Austin, TX, 78745-1567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205296803
Provider Name
Evan Matthysse
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4419 Frontier Trl Ste 104, Austin, TX, 78745-1567
Phone Number
917-817-0803
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4419 Frontier Trl Ste 104
City
Austin
State
Texas
Zip
78745-1567
Phone Number
917-817-0803
Fax Number
person
Provider Business Mailing Address Details
Address
4419 Frontier Trl Ste 104
City
Austin
State
Texas
Zip
78745-1567
Phone Number
917-817-0803
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
36043 (Texas)
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
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
22DI02685300 (New Jersey)
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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