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

Dr. Paul Thomas Matlock, DDS

Individual provider Dentist · NPI 1174740997

Dr. Paul Thomas Matlock, DDS is a Dentist in Lees Summit, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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

301 NE Mulberry St Ste 205
Lees Summit, MO 64086-6031
Phone: (816) 246-4920
Fax: (816) 246-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 015728 (MO)

Record details

NPI number1174740997
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 7, 2012
Mailing address301 Ne Mulberry St, Suite 205, Lees Summit, MO 64086-6031

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