Individual provider · Type 1 NPI
Erick Evandro Di Matteo
Periodontics · Longview, TX
NPI number
1295239713
Active
Practice location
444 Forest Sq Ste A
Longview, TX 75605-4463
Mailing address
3101 Madisina Dr
Cedar Park, TX 78641-2639
Other practice locations
- 1395 Center Dr # D1-D9, Gainesville, FL 32610-3006 · (352) 273-7846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 37306 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Longview
About NPI 1295239713
Erick Evandro Di Matteo's National Provider Identifier is 1295239713, issued on Mar 20, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Longview, TX. The record was last updated on Aug 15, 2022.