Individual provider · Type 1 NPI
Evan Matthysse, DDS
Oral and Maxillofacial Surgery (Dentist) · Austin, TX
NPI number
1205296803
Active
Practice location
4419 Frontier Trl Ste 104
Austin, TX 78745-1567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02685300 (NJ) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 36043 (TX) |
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.
4 other providers at this address
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About NPI 1205296803
Evan Matthysse, DDS's National Provider Identifier is 1205296803, issued on Feb 25, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Austin, TX. The record was last updated on Jul 23, 2024.