NPI 1730477084

Matthew Russel Checketts, DDS

Practitioner Prosthodontics Tyndall Afb, FL

Practice location

Address: 340 Magnolia Cir, Tyndall Afb, FL 32403-5604
Phone: (850) 283-7756

Registered specialties (2)

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 10468 (CO)

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Prosthodontics

Dental Providers Taxonomy 1223P0700X Licence 00010468 (CO)

Registry record

NPI: 1730477084
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2011
Record last updated: 28 Jan 2026

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.