Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW THOMAS MATHIS DDS
NPI 1154858041
Dentist - Oral and Maxillofacial Surgery in Jb Andrews, MD

Q: What is Andrew Mathis's NPI number?

The NPI number for Andrew Mathis is 1154858041. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Q: What is Andrew Mathis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Mathis was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2017

1060 W PERIMETER RD BLDG 1060, JB ANDREWS, MD 20762(240) 612-3900 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 11, 2026, Aug 16, 2023, Aug 20, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Andrew Thomas Mathis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW THOMAS MATHIS DDS (NPI 1154858041) is an individual oral and maxillofacial surgery provider in Jb Andrews, Maryland, licensed in Maryland (18894) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1154858041

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ANDREW THOMAS MATHISCredential: DDS

Location Address1060 W PERIMETER RD BLDG 1060Jb Andrews, MD 20762-6602

Mailing Address1529 Shirley StColumbia, SC 29205-1443

Phone(240) 612-3900

Sole ProprietorNo

Enumeration DateMay 22, 2017

Last NPPES UpdateOctober 11, 20264 updates tracked since enumeration

NPPES CertifiedOctober 11, 2026

✔ NPI 1154858041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in MD · 18894✔ Licensed in SC · 9018

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 9018 (SC)

1060 W PERIMETER RD BLDG 1060, Jb Andrews, MD 20762

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mathis's NPI number?

The NPI number for Andrew Mathis is 1154858041. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Andrew Mathis located?

Andrew Mathis practices at 1060 W Perimeter Rd Bldg 1060, Jb Andrews, MD 20762. The listed phone number is (240) 612-3900.

What is Andrew Mathis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Andrew Mathis was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.