Provider Demographics
NPI:1114923430
Name:MATTHEWS, RICHARD LEWIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEWIS
Last Name:MATTHEWS
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:20423 KUYKENDAHL RD
Mailing Address - Street 2:STE 600
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3322
Mailing Address - Country:US
Mailing Address - Phone:281-376-2405
Mailing Address - Fax:281-376-2409
Practice Address - Street 1:20423 KUYKENDAHL RD
Practice Address - Street 2:STE 600
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3322
Practice Address - Country:US
Practice Address - Phone:281-376-2405
Practice Address - Fax:281-376-2409
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2011-01-24
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Provider Licenses
StateLicense IDTaxonomies
TX95241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry