Provider Demographics
NPI:1740407030
Name:RAND, MATTHEW KEVIN (DMD, MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:KEVIN
Last Name:RAND
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17960 NE 9TH PL
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1119
Mailing Address - Country:US
Mailing Address - Phone:786-519-6125
Mailing Address - Fax:
Practice Address - Street 1:6567 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1843
Practice Address - Country:US
Practice Address - Phone:305-264-2666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN192861223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery