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DR. MATTHEW RUSSEL CHECKETTS D.D.S. NPI 1730477084


NPI Information

NPI: 1730477084
Provider Name: DR. MATTHEW RUSSEL CHECKETTS, D.D.S.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
2133 PEPPERRELL ST
LACKLAND AFB, TX
ZIP 78236
Phone: (210) 292-8612
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DR. Matthew Russel Checketts, D.D.S. is a prosthodontics dentist in Lackland Afb, TX. The provider is 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. DR. Matthew Russel Checketts, D.D.S. NPI is 1730477084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2133 PEPPERRELL ST
LACKLAND AFB, TX
ZIP 78236-313
Phone: (210) 292-8612

The enumeration date for this NPI number is 7/20/2011 and was last updated on 12/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics10468COLORADOYes
21223P0700XDentistProsthodontics00010468COLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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