Provider Demographics
NPI:1962668897
Name:FOLAN, MATTHEW HARRISON (DMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HARRISON
Last Name:FOLAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COWAN VALLEY ESTS
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-9571
Mailing Address - Country:US
Mailing Address - Phone:912-401-3371
Mailing Address - Fax:
Practice Address - Street 1:316 COUNTY SERVICES PARK
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5713
Practice Address - Country:US
Practice Address - Phone:828-586-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131641223G0001X, 122300000X
GADN013703122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist