Blake Lynn Matthews, DDS

General Practice Dentistry · Provo, UT

Individual Active NPI

NPI number 1477693802

Practice location

3610 N University Ave
#200
Provo, UT 84604-4437
Phone
(801) 377-9600

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NPI record

NPI
1477693802
Entity type
Individual (Type 1)
Enumeration date
February 7, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 222754989922 UT

Mailing address

3540 North 465 West
Provo, UT 84601

About Dr. Matthews

Blake Lynn Matthews, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3610 N University Ave, #200, Provo, UT 84604-4437. The NPI number 1477693802 was assigned on February 7, 2007 and the record was last updated on July 8, 2007.

Dr. Matthews lists a license in the registry: #222754989922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Lynn Matthews, DDS?

The NPI number is 1477693802.

What is the phone number of Dr. Matthews?

The phone number listed for the practice location is (801) 377-9600.

Where is Dr. Matthews located?

3610 N University Ave, #200, Provo, UT 84604-4437.

What is the taxonomy code for Dr. Matthews?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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