DR. Duncan Fairley Matheson IV, DDS

NPI #1073729307 in Diamondhead, Mississippi

Provider Information

NPI Number: 1073729307
Entity Type: Individual
Name: DR. Duncan Fairley Matheson IV, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5404 INDIAN HILL BLVD
City: Diamondhead
State: Mississippi
ZIP Code: 39525-3334
Phone: (228) 255-2543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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