NPI 1366456303 · live from the CMS NPI Registry
Matthew Graham Antony, D.D.S.
Dentist in Portland, OR. National Provider Identifier 1366456303, active.
NPI record
| NPI | 1366456303 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 500 Ne Multnomah St, Suite 100, Portland, OR 97232 |
| Practice phone | 505-813-4970 |
| Enumerated | July 27, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | D6807 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.