Individual provider · Type 1 NPI
Matthew Gregory Boothe, DDS
Pediatric Dentistry · Wasilla, AK
NPI number
1104239136
Active
Practice location
3470 E Meridian Park Loop
Wasilla, AK 99654-7294
Mailing address
2924 E Odsather Cir
Wasilla, AK 99654-7294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 30627 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | 109471 (AK) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6 other providers at this address
- Pediatric Dentistry of AlaskaDental Clinic/Center Wasilla, AK NPI 1568616548
- Anne Marie Ziegler, DDSPediatric Dentistry Wasilla, AK NPI 1821356262
- Bradley J. Robinson, DMDPediatric Dentistry Wasilla, AK NPI 1386088136
- Brigid Adamson, DDSPediatric Dentistry Wasilla, AK NPI 1730703026
- Julia Madeline Kollesar, DDSPediatric Dentistry Wasilla, AK NPI 1043951767
- Roger Duane Beck, DDSPediatric Dentistry Wasilla, AK NPI 1992822811
Other pediatric dentistry providers in Wasilla
- Julia Madeline Kollesar, DDSPediatric Dentistry Wasilla, AK NPI 1043951767
- Trisha Taylor, DMDPediatric Dentistry Wasilla, AK NPI 1184938904
- Bradley J. Robinson, DMDPediatric Dentistry Wasilla, AK NPI 1386088136
- Brigid Adamson, DDSPediatric Dentistry Wasilla, AK NPI 1730703026
- Anne Marie Ziegler, DDSPediatric Dentistry Wasilla, AK NPI 1821356262
- Roger Duane Beck, DDSPediatric Dentistry Wasilla, AK NPI 1992822811
About NPI 1104239136
Matthew Gregory Boothe, DDS's National Provider Identifier is 1104239136, issued on Jun 6, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Wasilla, AK. The record was last updated on Sep 2, 2016.