Provider Demographics
NPI:1841486206
Name:WARNER, MATTHEW SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SCOTT
Last Name:WARNER
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 1:3101 S HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5950
Mailing Address - Country:US
Mailing Address - Phone:864-546-4242
Mailing Address - Fax:864-312-3642
Practice Address - Street 1:3101 S HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5950
Practice Address - Country:US
Practice Address - Phone:864-546-4242
Practice Address - Fax:864-312-3642
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022587122300000X
SC4579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist