Provider Demographics
NPI:1891805537
Name:NAFTIS, MATHEW (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:
Last Name:NAFTIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 ELLA BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018
Mailing Address - Country:US
Mailing Address - Phone:713-682-7939
Mailing Address - Fax:713-683-9113
Practice Address - Street 1:1214 W 43RD ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-4232
Practice Address - Country:US
Practice Address - Phone:713-682-7939
Practice Address - Fax:713-683-9113
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX014107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist