Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Isak Matis, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053685008

Dr. Jeremy Isak Matis, DDS is a Student in an Organized Health Care Education/Training Program in Fairchild AFB, Washington. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

92D Medical Group 701 Hospital Loop Ste 350
Fairchild AFB, WA 99011
Phone: (095) 247-4770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12011813A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053685008
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESJune 25, 2024
Certification dateJune 17, 2024