Individual provider · Type 1 NPI

Andrew Thomas Mathis, DDS

Oral and Maxillofacial Surgery (Dentist) · Jb Andrews, MD

NPI number 1154858041 Active

Practice location

1060 W Perimeter Rd Bldg 1060
Jb Andrews, MD 20762-6602

Mailing address

1529 Shirley St
Columbia, SC 29205-1443

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X9018 (SC)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X18894 (MD)
Dentist 122300000X9018 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1154858041

Andrew Thomas Mathis, DDS's National Provider Identifier is 1154858041, issued on May 22, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jb Andrews, MD. The record was last updated on Oct 11, 2026.