Michael D. Mattiacio D.D.S., P.C. in Syracuse - General Practice
Michael D. Mattiacio D.D.S., P.C. - NPI 1619098076
Michael D. Mattiacio D.D.S., P.C. is a General Practice in Syracuse, New York. Michael D. Mattiacio D.D.S., P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael D. Mattiacio D.D.S., P.C. is 1619098076. The last update date is 2008-06-24.
Michael D. Mattiacio D.D.S., P.C.'s current location address is 2946 Erie Blvd E, Syracuse, New York. You can contact this provider via phone number 3154452678. The mailing address for Michael D. Mattiacio D.D.S., P.C. is 2946 Erie Blvd E, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael D. Mattiacio D.D.S., P.C. |
|---|---|
| Address | 2946 Erie Blvd E, Syracuse, New York |
| Phone Number | 3154452678 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mattiacio David Michael |
| Credentials | D.D.S. |
| Telephone Number | 3154452678 |
NPI Number Detail
| NPI Number | 1619098076 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 2946 Erie Blvd E |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132241431 |
| Phone Number | 3154452678 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Michael D. Mattiacio D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The Michael D. Mattiacio D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1619098076, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael D. Mattiacio D.D.S., P.C.?
The Michael D. Mattiacio D.D.S., P.C. is situated at 2946 Erie Blvd E, in the city of Syracuse, state of NY, with the zip code 132241431.
What is the Michael D. Mattiacio D.D.S., P.C.'s specialty and taxonomy code?
The Michael D. Mattiacio D.D.S., P.C.'s specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619098076 to Michael D. Mattiacio D.D.S., P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1619098076 to Michael D. Mattiacio D.D.S., P.C. on 2007-04-03.
When was the information related to Michael D. Mattiacio D.D.S., P.C. most recently updated or refreshed?
The details pertaining to the Michael D. Mattiacio D.D.S., P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-24.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA