Search › Washington › 1223G0001X
Jeremy Matis, DDS
NPI 1053685008 · on the registry since 2012
Practice
- Address
- 92d Medical Group
701 Hospital Loop, Suite 350
Fairchild Afb, WA 99011 - Phone
- (095) 247-4770
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington