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

Dr. Matthew Gregory Boothe, DDS

Individual provider General Practice Dentistry · NPI 1104239136

Dr. Matthew Gregory Boothe, DDS is a General Practice Dentistry in Wasilla, Alaska. Licensed in Alaska and Texas. Registered with an NPI since 2014.

Licensed in
AK, TX
In the registry since
2014
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.

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Practice location Address checks out

3470 E Meridian Park Loop
Wasilla, AK 99654-7294
Phone: (907) 373-8684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 109471 (AK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30627 (TX)

Record details

NPI number1104239136
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESSeptember 2, 2016
Mailing address2924 E Odsather Cir, Wasilla, AK 99654-7294

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