Provider Demographics
NPI:1750876876
Name:MATTHEWS, DENNIS L (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:L
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 PRESTON RD STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6328
Mailing Address - Country:US
Mailing Address - Phone:214-368-9600
Mailing Address - Fax:
Practice Address - Street 1:8117 PRESTON RD STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225
Practice Address - Country:US
Practice Address - Phone:214-368-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-01
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-3616207Q00000X
DEC1-0024382207Q00000X
GA89317207Q00000X
IN01086220A207Q00000X
NMMD2021-0732207Q00000X
PAMD475546207Q00000X
NY312279-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine