| Michael W. Mathewson, D.d.s., P.c. | |
|
215 E 2nd St Dixon IL 61021-3118 | |
| (815) 284-2749 | |
| Not Available |
| Full Name | Michael W. Mathewson, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 E 2nd St, Dixon, Illinois |
| Authorized Official Name and Position | Michael Warne Mathewson (PRESIDENT) |
| Authorized Official Contact | 8152842749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W. Mathewson, D.d.s., P.c. 215 E 2nd St Dixon IL 61021-3118 Ph: (815) 284-2749 | Michael W. Mathewson, D.d.s., P.c. 215 E 2nd St Dixon IL 61021-3118 Ph: (815) 284-2749 |
| NPI Number | 1215000229 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215000229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-017139 (Illinois) | Primary |
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