IndividualActive
Matthew Grace, D.D.S.
NPI 1083096820 · Dentist · Van, TX
Provider details
- NPI number
- 1083096820
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 30947 (TX)
Specialties & taxonomies
Dental Providers
Practice location
299 Quail St
Van, TX 75790-3841
Phone: (903) 963-8681
Approximate (ZIP-level) locationGet directions
Mailing address
299 Quail St
Van, TX 75790-3841
Registry dates
- Enumerated
- 2015-06-28
- Last updated
- 2015-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.