Most Relevant Information
Provider Data
| NPI Number: | 1003222761 |
| Provider Name: | MATTHEW DANIEL CARRAWAY DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 33854 |
Most Important Dates
| Enumeration Date: | 07/02/2014 |
| Last Updated: | 06/24/2021 |
Provider Practice Location
901 N GRANT AVE STE 105B
ODESSA
TX
797614054
Practice Location Phone/Fax
| Phone: | 4326992044 |
| Fax: |
Provider Mailing Location
901 N GRANT AVE STE 105B
ODESSA
TX
797614054
Provider Mailing Phone/Fax
| Phone: | 4326992044 |
| Fax: | 4322050007 |