Provider Demographics
NPI:1598096380
Name:MATTHEWS, TERRI JONES (DMD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:JONES
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 FOREVER GREEN CT
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6477
Mailing Address - Country:US
Mailing Address - Phone:443-326-3606
Mailing Address - Fax:202-806-0354
Practice Address - Street 1:8106 FOREVER GREEN CT
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6477
Practice Address - Country:US
Practice Address - Phone:443-326-3606
Practice Address - Fax:202-806-0354
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN5054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist