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Dr. Dexter Witherington Mattox

Oral & Maxillofacial Surgeon

110 Office Park Ln Ste 104
St Simons Island , Georgia 31522-6604

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Dr. Dexter Witherington Mattox

Oral & Maxillofacial Surgeon

110 Office Park Ln Ste 104
St Simons Island , Georgia 31522-6604

(912) 223-1377

Write a Review Save Call

Dr. Dexter Witherington Mattox

Oral & Maxillofacial Surgeon

110 Office Park Ln Ste 104
St Simons Island , Georgia 31522-6604

(912) 223-1377 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

110 Office Park Ln Ste 104 St Simons Island , Georgia 31522-6604

First Address

  • Dr. Dexter Witherington Mattox
  • 3874 Meadowbrook Blvd
  • University Heights, OH
  • Zip : 44118-4451
  • Phone : (912) 223-1377

Second Address

  • Dr. Dexter Witherington Mattox
  • 110 Office Park Ln Ste 104
  • St Simons Island, GA
  • Zip : 31522-6604
  • Phone : (912) 634-6600

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FAQs


Where did Dr. Dexter Witherington Mattox attend graduate school?

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Where did Dr. Dexter Witherington Mattox do his residency?

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Where did Dr. Dexter Witherington Mattox do his fellowship?

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Is Dr. Dexter Witherington Mattox board certified?

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What type of doctor is Dr. Dexter Witherington Mattox

Oral & Maxillofacial Surgeon

In what state does Dr. Dexter Witherington Mattox practice in?

Georgia

Where is Dr. Dexter Witherington Mattox ’s practice located?

110 Office Park Ln Ste 104 , St Simons Island, Georgia, 31522-6604

What is Dr. Dexter Witherington Mattox ’s gender?

Male

Is Dr. Dexter Witherington Mattox a sole practitioner?

No

Is Dr. Dexter Witherington Mattox accepting new patients?

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What languages does Dr. Dexter Witherington Mattox speak?

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Does Dr. Dexter Witherington Mattox accept insurance?

Yes, Dr. Dexter Witherington Mattox accepts insurance

Does Dr. Dexter Witherington Mattox offers telemedicine?

Dr. Dexter Witherington Mattox has not indicated if he offers telemedicine

What is Dr. Dexter Witherington Mattox ’s professional license number?

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What is Dr. Dexter Witherington Mattox ’s NPI number?

1285083527

Does Dr. Dexter Witherington Mattox have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 204E00000X Oral & Maxillofacial Surgeon DN015216 GA

National Provider Identifier

NPI 1285083527
Provider Name Dr. Dexter Witherington Mattox
First Address University Heights, OH 44118-4451
Second Address St Simons Island, GA 31522-6604
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 07/06/2016
Last Update Date 29/03/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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