Dr. Nicole Marie Matthews, DDS
Dentist in New Haven, MO. Individual provider (NPI-1).
NPI number1174981997
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1174981997
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie Matthews
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2016017389 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NM |
Practice location
1009 Highway CNew Haven, MO 63068-1425
Phone 573-237-3038
Mailing address
1009 Highway CNew Haven, MO 63068-1425
Phone 573-237-3038
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