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

Individual provider Chiropractor · NPI 1619072790

Dr. Matthew Wayne Fentress, DC is a Chiropractor in Ormond Beach, Florida. Practices as a sole proprietor. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

555 W Granada Blvd Ste E6
Ormond Beach, FL 32174-9402
Phone: (910) 791-1211
Fax: (910) 791-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 11802 (FL)
Chiropractor Taxonomy 111N00000X · Licence 3163 (NC)

Record details

NPI number1619072790
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020

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