Provider Demographics
NPI:1497932180
Name:TRACY DOWD MATNEY DDS PA
Entity type:Organization
Organization Name:TRACY DOWD MATNEY DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:DOWD
Authorized Official - Last Name:MATNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-822-5888
Mailing Address - Street 1:309 MCARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-6921
Mailing Address - Country:US
Mailing Address - Phone:910-822-5888
Mailing Address - Fax:910-822-0055
Practice Address - Street 1:309 MCARTHUR RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-6921
Practice Address - Country:US
Practice Address - Phone:910-822-5888
Practice Address - Fax:910-822-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty