Matthew Kybao DO, DMD

General Practice Dentistry · Suwanee, GA

Individual Active NPI

NPI number 1861110231

Practice location

2566 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2537
Phone
(678) 714-2380

Open in Google Maps

NPI record

NPI
1861110231
Entity type
Individual (Type 1)
Enumeration date
August 19, 2022
Last updated
August 19, 2022
Certified
August 19, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN122817 GA

Mailing address

675 Rain Willow Ln
Johns Creek, GA 30097-7148

About Dr. DO

Matthew Kybao DO, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2566 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2537. The NPI number 1861110231 was assigned on August 19, 2022 and the record was last updated on August 19, 2022.

Dr. DO lists a license in the registry: #DN122817 (GA) 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 Matthew Kybao DO, DMD?

The NPI number is 1861110231.

What is the phone number of Dr. DO?

The phone number listed for the practice location is (678) 714-2380.

Where is Dr. DO located?

2566 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2537.

What is the taxonomy code for Dr. DO?

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.

Other General Practice Dentistry providers in Suwanee

All General Practice Dentistry providers in Suwanee, GA →