Dr. Matthew Daniel Carraway
Pediatric Dentist
901 N Grant Ave Ste 105b
Odessa
, Texas 79761-4054
Dr. Matthew Daniel Carraway
Pediatric Dentist
901 N Grant Ave Ste 105b
Odessa
, Texas 79761-4054
(432) 205-0007
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Matthew Daniel Carraway
- 901 N Grant Ave Ste 105b
- Odessa, TX
- Zip : 79761-4054
- Fax : (432) 205-0007
- Phone : (432) 699-2044
Second Address
- Dr. Matthew Daniel Carraway
- 901 N Grant Ave Ste 105b
- Odessa, TX
- Zip : 79761-4054
- Phone : (432) 699-2044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 33854 | TX |
National Provider Identifier
| NPI | 1003222761 |
|---|---|
| Provider Name | Dr. Matthew Daniel Carraway |
| First Address | Odessa, TX 79761-4054 |
| Second Address | Odessa, TX 79761-4054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2014 |
| Last Update Date | 24/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.