Provider Demographics
NPI:1942463286
Name:ANDREWS, MATTHEW PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PAUL
Last Name:ANDREWS
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 1:206 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:CUBA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53807-1147
Mailing Address - Country:US
Mailing Address - Phone:608-744-2111
Mailing Address - Fax:
Practice Address - Street 1:206 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:CUBA CITY
Practice Address - State:WI
Practice Address - Zip Code:53807-1147
Practice Address - Country:US
Practice Address - Phone:608-744-2111
Practice Address - Fax:608-744-2112
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6231-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice