DR. Matthew Ross Lisenby, DMD

NPI #1992367338 in Carson City, Nevada

Provider Information

NPI Number: 1992367338
Entity Type: Individual
Name: DR. Matthew Ross Lisenby, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 6, 2019
Last Updated: May 16, 2022

Practice Location

Address: 1457 S CARSON ST STE 101
City: Carson City
State: Nevada
ZIP Code: 89701-5240
Phone: (775) 372-9898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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