NPI 1154858041

Andrew Thomas Mathis, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Apo, AP

Practice location

Address: 35 Ds/Sgxd Unit 5024, Apo, AP 96319-5024
Phone: (315) 226-6700
Mailing address: 1529 Shirley St, Columbia, SC 29205-1443

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 9018 (SC)

Other Oral & Maxillofacial Surgery providers in Armed Forces Pacific →

Dentist

Dental Providers Taxonomy 122300000X Licence 9018 (SC)

Other Dentist providers in Armed Forces Pacific →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 9018 (SC)

Registry record

NPI: 1154858041
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2017
Record last updated: 16 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.