Individual provider · Type 1 NPI

Matthew Joseph Vierra, DDS

Periodontics · San Antonio, TX

NPI number 1457686776 Active

Practice location

14500 San Pedro Ave, Suite 102
San Antonio, TX 78232-4391

Fax (210) 491-0352

Mailing address

10126 Silverwagon
San Antonio, TX 78254-6034

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Periodontics Primary 1223P0300X28748 (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.

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About NPI 1457686776

Matthew Joseph Vierra, DDS's National Provider Identifier is 1457686776, issued on Oct 4, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Antonio, TX. The record was last updated on Nov 22, 2013.