Organization · Type 2 NPI

Joshua D Mathis DDS LLC

Dental Clinic/Center · Auburn, AL

NPI number 1386121473 Active

Practice location

2311 Bent Creek Rd., Ste 500
Auburn, AL 36830

Call (918) 852-4854 Map

Mailing address

731 Petrie Rd
Auburn, AL 36830-3046

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	6400 (AL)

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NPI record

NPI: 1386121473
Entity type: Organization (Type 2)
Issued: Jul 23, 2018
Last updated: Jul 23, 2018
Status: Active

Other names

<unavail>
Bent Creek Dental · doing business as
Bent Creek Dental · doing business as

Authorized official

Dr. Joshua Dale Mathis, DDS
Owner Dentist
(918) 852-4854

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386121473

Joshua D Mathis DDS LLC's National Provider Identifier is 1386121473, issued on Jul 23, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Auburn, AL. The record was last updated on Jul 23, 2018.