Individual provider · Type 1 NPI
Matthew Russel Checketts, DDS
Prosthodontics · Tyndall Afb, FL
NPI number
1730477084
Active
Practice location
340 Magnolia Cir
Tyndall Afb, FL 32403-5604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 10468 (CO) |
| Prosthodontics | 1223P0700X | 00010468 (CO) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1730477084
Matthew Russel Checketts, DDS's National Provider Identifier is 1730477084, issued on Jul 20, 2011. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Tyndall Afb, FL. The record was last updated on Jan 28, 2026.