Paul Thomas Matlock, D.D.S.

Dentist · Lees Summit, MO

Individual Active NPI

NPI number 1174740997

Practice location

301 NE Mulberry St
Suite 205
Lees Summit, MO 64086-6031
Phone
(816) 246-4920
Fax
(816) 246-4970

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NPI record

NPI
1174740997
Entity type
Individual (Type 1)
Enumeration date
April 20, 2007
Last updated
August 7, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 015728 MO

About Dr. Matlock

Paul Thomas Matlock, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 301 NE Mulberry St, Suite 205, Lees Summit, MO 64086-6031. The NPI number 1174740997 was assigned on April 20, 2007 and the record was last updated on August 7, 2012.

Dr. Matlock lists a license in the registry: #015728 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul Thomas Matlock, D.D.S.?

The NPI number is 1174740997.

What is the phone number of Dr. Matlock?

The phone number listed for the practice location is (816) 246-4920.

Where is Dr. Matlock located?

301 NE Mulberry St, Suite 205, Lees Summit, MO 64086-6031.

What is the taxonomy code for Dr. Matlock?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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